panniculectomy

brave-ish

Posted on by thenjaesays

A few months ago, after hearing my tale of woe as the struggling fat girl turned weight loss success story, the woman I was speaking to sat, mouth agape, finally saying “How brave!”

In my memory of this afternoon I cocked my head like a dog does and she clarified “to go through all of that, just to be happy in your body, that takes bravery.” I smiled and shrugged so I didn’t comment in a fashion that seemed ungrateful for her acceptance, or her pat on the back.

Brave is hardly the word I would use to describe my experience. Without sounding like a poor me, self-deprecating kind of gal, I have never walked into a burning building to save anyone, battled cancer or worked in a job where I put my life on the line every day in a way that would show some kind of bravery. I was fat and now I’m not, I don’t think there’s anything brave about that.

I forgot about this instance until recently, in two separate conversations with other losers who have also had plastic/skin removal surgeries, I admitted that not only did I not feel brave about the whole thing, but in fact, kind of sad.

Don’t get me wrong, I am thrilled to no longer be battling a weight nearing 300 pounds, or questioning every piece of food I put in my mouth. I don’t weight myself two and three times a day after eating or going to the bathroom, I’m more comfortable in my skin and body than I have ever been but I don’t see that as an act of bravery. Necessity, maybe. Cleaning up a mess, definitely.

In one of the conversations where I am talking about my occasional lackluster feelings toward my arm scars (and maybe, depending on the day, the results in general), I say – that in my frustration about this, I am more mad than anything. Mad that I was even in a position to need all the things I’ve done or had to do to have a “normal” body. Mad that maybe it could have been prevented some how, mad that obesity is a thing that happened, or I let happen to me. Mad that in the last four years I missed a total of  14 weeks of work to recover from surgeries. Mad about how many hundreds (or thousands!) of dollars disappeared from my bank account to fully cover one of those surgeries, and part of the others, and co-pays and pain pills and protein bars and vitamins. Mad when I think about what things and experiences could have taken place in those weeks off or with that money.

Maybe, swimming in my usual sea of unpopular opinions, I don’t think of the word grateful to describe how I feel now, but that doesn’t mean I am not. I see other weight loss surgery patients, or people who didn’t have surgery agonize over their loose skin and how they wish they could afford it, and I know that I am lucky I was able to do any of these things. I have gotten messages from people asking about the process for weight loss surgery itself, for the future, because they don’t have insurance right now, or a job that allows them time off.

I know that I am fortunate.

I revel in my size medium shirts, my ‘normal’ store clothes shopping, my belly fat and floppy arms not holding me back from things. I still do a double take when I see myself in photos taken by others or see my reflection in something new. I am proud of my transformation and the correlation between my confidence and accomplishments is not lost on me. The life I am living now feels like the one I always wanted to be living and I am in awe of that all the time.

I’m more than happy to field emails and phone calls from other patients going through the same program at my hospital, and I tell them in no uncertain terms that I would do this again and again to change my life for the better.

I don’t regret the decisions or the results, in any way. I just sometimes wish it wasn’t something that even had to happen. Who knows, maybe there’s a little bravery in admitting that.

super fat.

Posted on by thenjaesays

I have been fat my whole life.

It’s not an exaggeration; I was an almost eleven pound baby, and according to a recently consulted baby book I was eighty-four pounds when I was six years old.

I come from a family of celebrators; someones birthday or a holiday, expect a gathering, with more than enough food, invitations extended beyond the family and of course a dessert or four.

In the happy and loving upbringing I have had, the main negative is just that I was fat. Not counting that pesky obesity gene I was predisposed to, there wasn’t any one thing or person that made me that way either. It was just who I was and I (mostly) accepted it.

I accepted it in that way that you know something can change, but you’re not sure how to do it or what the outcome will be but you try until it’s too much. Like when you string all the lights up on your Christmas tree and two strings don’t blink, or light up at all. You want a beautifully lit tree, and you have the equipment for it, but it’s out of sorts so you unscrew a bulb here, or there … then you unplug the strings and re plug them into other ones … you google it, you make three trips to two different stores for new strings, you dismantle the whole thing and start over and finally, eventually it works and you have your lit tree. Or maybe you say “Fuck it, it’s my tree, this is how it is” and accept it dead bulbs and all.

I lived in a hazy sort of middle ground between the two.

I was obsessively counting calories, taking fat burners or prescription diet pills, cutting out entire food groups, worrying about how I looked, counting points, weighing myself twice a day, overthinking how I looked, how I felt or feeling bad about something I ate or sorrowful over something I didn’t …. or none of that at all.

When I reminisce about fat me, or refer to my former self as fat, or obese people scoff. When I share a comparison photo of an obviously morbidly obese me next to a normal sized me, people say things about how pretty I always was, or how hard I am being on myself. Comments like “You were heavy, but you were tall” or that laughable “…but you have big bones” or just brushing it off as though I only carried around an extra twenty pounds.

I assume it’s because people don’t want to hurt my feelings, or come off sounding rude, but let’s not ignore the elephant in the room. I’m not woe as me, I don’t think I was ugly, or useless, and I’m not looking for compliments, I’m just telling it like it is.

When people look back and say “I was ten years old” or “When I lived in California” or “That was in high school”, it’s the same thing to me. I was large.

Sometimes it makes me feel like I’m crazy. Like I am the one who is inaccurately remembering myself.

I am two or three glasses into a bottle of wine, half eaten tortilla chip in one hand while my other hand is knuckle deep into some goat cheese with a cracker. I am siting across from one of my favorite people telling her a story about I don’t even remember what, but I say “I mean I was a super fat miserable bitch back then, so…” and she cuts me off.

“No way, you weren’t a miserable bitch…” I lick cheese off of my hand as she continues “…super fat, definitely, but…”

We erupt in laughter. She goes on … “What? You were … (she motions with her hands)…super fat. But also, super cool, super funny and I instantly loved you.”

She popped the rest of a cracker in her mouth and took a swig of her wine. She shrugged as if to say “just the facts, ma’am” and we peppered it in to conversation for the rest of the night.

I kept bringing it up and feigning hurt feelings. Honestly though, of all the conversations I have had with people about my weight, of all the the times I have referred to my former fat self and been reprimanded for using so called “bad” words to describe myself, this time was the most refreshing. It was the first time anyone was like, ‘Yea you were, but you were also X, Y and Z’. She didn’t try to talk me out of it, or pretend it wasn’t that way – she just reminded me that it was just a part of who I was.

Maybe I leave that out sometimes, maybe I come across as though I forget who I was, or maybe it seems like I think I was just a fat person with nothing to offer or that I let that define me.

I don’t. I know that I have been many things to many people.

I know who I am; I know I have always been smart, and funny and well loved.

I’ve been kind and nurturing and crass and creative.

I’ve been happy and supportive and a dozen other adjectives, and if we’re all being honest; one of those was super fat.

 

Zumba!

Posted on by thenjaesays

Right before the start of 2016, down about fifty pounds, I tried my first group exercise class after my weight loss surgery. I had only been to a few others before and they were extremely stressful situations that caused my anxiety to skyrocket on the drive over, my stomach to flip flop on the walk into the room and then again when faced with the large mirror that would leave me on display no matter where in the room I stood. Exercise in general gave me the sweats because I was sure anyone who saw me doing it would think it was laughable, I had also felt like my body was unresponsive no matter what I was putting into it or making it do, so exercise was a chore, with no real reward. Even when I felt a little better afterward, I was still fat, and still miserable.

So the first class I go to is Zumba.

Ballsy, right?

I had seen commercials for years about the kits you could get to try it yourself at home, I had seen thin, attractive women shaking their overpriced legging clad butts to tropical sounding tunes and I had never had the courage to try, but I was intrigued, and for once I let that overpower the fear of the group class.

Man. It was something. Huge room at the gym, brightly lit with mirrored walls on two sides. Of course I took a place in the back of the class but there were only about ten people in it. It was a weekday before 9am, and the room was a melting pot. I wasn’t the oldest, or youngest, not the fattest or thinnest. I was just a person surrounded by other people who just wanted to dance and sweat something out – calories, stress, bad luck – whatever it was, we all just wanted to leave lighter.

It was loud and fast and fun. It was like all the shit I was doing in my own house when nobody was looking, but to better music. This was exercise? No exercise I ever knew was enjoyable. “Peace out treadmill” I thought as I shook and shimmied all over the place. Checking myself out in the mirror, not caring (too much) about my arm fat flapping as I danced my heart out.

It was the best morning I had had in a long time.

Even though I almost died. (dramatic)

In fifty minutes, my Fit Bit reported over 7,000 steps, I had sweat pooling in my eyebrows and I had drained my water bottle. Somewhat labored breathing but I staggered out to my car, and when I got home, announced that I was going to Zumba the next day, too.

For a few months, I had the time in my schedule to go to multiple classes a week, sometimes I went five times. I was dancing in grocery stores, looking up Zumba videos on You Tube to dance along to at night. I went to the same instructor’s class, and so I was getting all her moves and routines down, I was friendly with people in the class who also went a few times a week. I couldn’t believe I was exercising, for fun, before my coffee even!

I felt light, and happy and totally energized.

I bought fancy sports bras and new pants to hold in my gut, I didn’t care that I had to peel my clothes off after every class, or sometimes had to sit down slowly when suffering from what I called ‘zumba thighs’. I befriended the instructor, and when she was no longer teaching there, I became friendly with her replacement; talking about becoming a Zumba instructor myself, I was borderline obsessed and she offered to take me under her wing and show me the ropes and gave me info on where to sign up for different things.

I was totally on board.

Before that went anywhere, my schedule changed and I could really only make it to classes in the evening or on Saturdays, and those weren’t ideal.

Time passed and summer was almost over and I had my panniculectomy and spent eight weeks basically living on my couch. Every few days I would daydream about going back to Zumba, how much different it might feel now that this extra belly fat was gone, how I could finally get moving in the direction of becoming an instructor myself and sharing this exercise I actually enjoyed with other people. When the time came that I was cleared to exercise, it was also when I was cleared to go back to work, so again, not really ideal. I went to a few evening classes but it wasn’t the same as starting my day off with that jolt, there were no familiar faces, so again, it faded.

I don’t even know if I like it anymore. I’m sure I do but, I mean, if I truly did wouldn’t I have made the time for it? I don’t know if I used timing as an excuse or if it actually was a real constraint, but at the moment, it’s neither.

I have the freedom right now, and for possibly the next few weeks to get to some morning Zumba classes, so I”m gonna go. No pressure on myself to love it like I did, no idea that I am going to go and know all the moves ( I most certainly will not!), no concern about having the flabbiest arms flailing around or anyone paying attention to me.

I’m gonna take my free mornings, grab my water bottle and my little towel and I’m gonna go dance my ass off in that back row.

Maybe as soon as tomorrow.

 

 

nip // tuck

Posted on by thenjaesays

Earlier today I was trying to figure out how many remaining vacation days I have that may pay out when my current job ends in a few weeks.

In a conversation with a friend, I say “Aside from my sick days, I’m pretty sure I only took one day off this year, the day after I drove to NY. I also took a half day when I went to see my plastic surgeon, but I stayed late a few times to make up for it.”

Possibly the most bizarre sentence I ever uttered.

My plastic surgeon.

I guess it’s not that weird, but the way it just rolled off my tongue like you would say “my mechanic”, “my hairdresser”, or “my mailman.”

I’m like “Hey, you need something nipped or tucked? I know a guy!”

I let him mark me up, knock me out and cut off seven pounds of flabby excess skin and fat on my abdomen; we have plans to do it on other parts another time or two as well.

I’ve questioned my decision a few times, as I never thought of myself as a vain person, and I don’t care so much about how I look, but how I feel.

Last year I had a panniculectomy, which removed the flap of fat that, even after losing 80 pounds still disrupted any outfit I tried to wear, got in the way when I attempted running, hung around haunting me like a scar that wouldn’t fade –  and I was damn sure it almost flung off my body during Zumba once. Add in the rashes and general discomfort and I don’t feel so so bad about it.

Now that it’s gone though? My thighs are in plain sight to me and WOOF. Doughy, flabby, hangy; a little painful and a lot keeping me from shorts and too far above the knee skirts or dresses. Slapping and rubbing together eighty percent of the time.

My upper arms have been a source of frustration, sadness and severe sweating through the summers for as long as I could remember. I think I single handedly kept the production of Old Navy cardigans going because I was always buying them, in every color, year round. As they became smaller, they surprisingly only got worse; loose and hanging, getting pinched during hugs, noisily flapping doing almost anything and I merely traded cardigans for light zip ups and jean jackets.

I’ve thought about it, I’ve put off getting the surgery dates in the books but I’ve decided I’m not vain. I’m not trying to look like anyone else, or impress anyone. I’m just trying to be as comfortable as possible in the skin I worked so hard to deflate.

shhh!

Posted on by thenjaesays

I think everyone has what I refer to as situational anxiety on occasion. Some of us more than others, some of us more severely, or less severely than others. But, I definitely think that everyone experiences mild anxiety sometimes.

Like one morning a few weeks back, when I had to put air in my car tires and my brain played a scenario is which I over-filled the tires and one popped in my face and I died in the Speedway parking lot.

You can laugh, but I’m not kidding.

The whole drive over I was pep talking myself, like ‘Okay, but if you don’t put air in, one could pop while you’re driving on the highway today and you could die, or kill someone, so you really don’t have a choice…”

Or almost any time I use a sharp knife, I visualize accidentally cutting my finger off right before I use it. (Maybe that’s just weird, not anxiety)

I was prescribed medication for my not so situational, more like constant anxiety in 2014 and I took it for about a year, at which point I had lost a good portion of my excess weight, was on the verge of quitting my less than thrilling and somewhat stressful job, and my occasional depression was also under control.

In the first few days that I was taking said medication, I had my first visit with the surgeon who would eventually perform my gastric sleeve. In advance of the appointment, and really with any appointment you have with them, they encouraged you to bring a “support person” if that would ease any tension, or help you stay focused on any concerns or questions.

I never dragged Steve along to any of them, except the actual surgeon appointment. So he could ask any questions, and meet her prior to her removing half of my stomach.

In the days leading up to the appointment, I replayed the routine. Every appointment I had was the same, they weighed you.

Every time.

Every office.

Every appointment.

When I had back to back appointments I would sometimes be weighed multiple times in one afternoon.

I immediately tensed up.

He would be there.

He would see them weigh me.

He would see the giant digital output on the scale.

He can’t come with me.

He can’t see.

He can’t know.

I mean, in retrospect the whole thing was ridiculous, because we had been living together for a few years at this point and it’s not like I was head-to-toe Spanx all day every day and he didn’t know I was overweight.

Also, uhhhh, he was coming to a doctor’s appointment about having weight loss surgery.

Still.

The number.

The fear.

The shame.

The anxiety.

I sent an email to my surgeon’s physician assistant who I had met with before, and expressed my concern.

“I know this is going to sound silly…” I started out

“Don’t worry, it’s more common than you think and we will take your vitals privately” she noted in her response.

Whew.

The day of the appointment we go into the office an I go up to check in. I fill out the usual updates to the paperwork, and again, tell the girl at the desk about my concern regarding Steve learning my actual weight.

She laughs comfortingly, and tells me that they’ll take me in first for vitals, and then for the actual appointment they’ll call us both in.

Relief.

A few minutes later we are called in to meet my surgeon for the first time. I remember how perfect she looked; almost flawless with her pin straight hair, glossy manicure, all smiles and gold iPhone in hand.

We were fast friends, and Steve even teased her about her off the cuff drawing of a stomach. After our getting-to-know-you session, we got down to the facts and planning.

She reviewed my chart, almost gave me a heart attack before clarifying “something that is really concerning” (high a1C, indicative of future diabetes) and said that everything looked great and there were no red flags, so she was approving me.

“You’ll have a forty-eight hour liquid diet before surgery.”

“Not a problem”

“And I see here you have been working with Jill (my nutritionist) and have lost about six pounds, which is great”

Sweet, I thought, this is happening.

Steve and I nod approvingly at each other.

She continued, “Really just another pound or so should do it …”

“We have you at 271 today, so …..”

…

…

…

I cannot tell you anything she said at the end of the sentence because I was probably bell pepper red and if you touched my face it might have singed your skin while I was trying to figure out how to slide all two hundred seventy one pounds of myself off the couch onto the floor and out the damn door.

We walked eighty-seven miles to the parking garage, midway through he said “Are you psyched or what? You don’t seem as excited now that it’s happening”

I’m all “Bro (yea, I called him bro) she outed me! I made sure everyone we saw today knew not to say my weight out loud”

Walk, walk, walk.

“You were worried about that? Pffft, I didn’t even hear her, what’d she say?”

He heard her, he had to have.

I laugh.

“What, 171? I really didn’t hear”

“Yea, 171”

“Who cares, you’re approved”

We high five.

He opens the passenger door for me and kisses my forehead.

Thanks, bro.

 

 

 

CTS

Posted on by thenjaesays

I can’t remember the occasion but at some point there was a conversation with my mom where I was telling her that I was too excited to sleep, in anticipation for something the next day. She told me that a similar thing happened to her sometimes and that she vividly remembered it happening when she was growing up, specifically the night before a class trip. She was anxious that she would fall asleep and not wake up in time, and miss the trip. After that, we explicitly refer to the inability to fall asleep for fear of oversleeping and missing something as ‘Class Trip Syndrome’ or CTS for short.

The last time I remember having a bout of CTS was a year ago yesterday.

I was trying to relax in preparation for my panniculectomy the next morning. I was not allowed to eat or drink anything past midnight, so naturally I was starving with a mouth as dry as the desert at 12:01. I had to check in at the hospital at 6am – I set my alarm for 4:45, so I could shower since I wasn’t sure how many of the following days I wouldn’t be able to. When I finally was able to settle down and decided on the couch for sleep, it was going to be more like a nap and I think it was after 1 am.

I slept though.

Right through my alarm.

I woke up at 5:20, the time that we were supposed to be getting in the car!!

I freaked out, I froze. I ran into the bedroom like a maniac startling Steve awake.

“We have to go! I didn’t shower! They’re going to cancel my surgery!”

Fastest and least relaxing shower of my life. I cut myself shaving, because you obviously have to shave your legs at 5:30 in the morning when you’re already running late.

Groggily putting deodorant on while I’m conditioning my hair Steve says “Why are we rushing if they’re cancelling your surgery? Why are they cancelling it?”

As if he has asked a thousand questions in the eleven minutes he’s been awake I shout “I have to be there in half an hour, they will cancel if I’m not checked in on time! My insurance approval is only good for today!”

I slip and slide my way into the bedroom where I put on a pair of lacy granny panties from Target for what I dream will be the last time, followed by a baggy tank top and loose shorts that I live in over the next eight weeks, alternating with the same top in white and the same shorts in pink.

I’m so excited and nervous that I can’t leave the house until I make sure I’m not going to crap my pants.

We are barely on the road and see brake lights. I’m almost in tears.

“I can’t believe I slept through my alarm, I barely even slept. Stupid Class Trip Syndrome”

He assures me that they’re not going to cancel my surgery “If anything,” he says “You’ll just have to wait until later in the day”

Comforting, yet not. “I can’t wait, I haven’t eaten since yesterday and I am soooooo thirsty”

When we finally pull into the hospital parking garage it’s about 6:20; I am relieved but still anxious, now because someone is about to draw on me, knock me out and make an incision in my body that practically cuts me in half. While I am cut open? Another doctor is going to root around in there and repair a hernia. You see why I might be crapping my pants, right?

We get to surgical check-in and wait in line, they’re backed up! HA! When it’s my turn to fill out paperwork, it’s actually the time my surgery was scheduled for. “Don’t worry,” the woman says, “we’ve been behind since before 6.”

Sigh of relief.

Followed by another wave of anxiety.

Healthcare proxy form, check.

Emergency contact info, check.

We walk down three hundred hallways and into a large room full of beds where I will be prepped.

Multiple people come and introduce themselves to me, check my vitals, prick my fingers, inject heparin, ask me a ton of questions and stroke my ego by telling me how funny I am and how they never would have guessed I had weight loss surgery, that my face shape recovered well from the loss.

I’m calm.

I’m the star of the damn show.

Holy crap, here’s my doctor.

Six months prior I would have said the most humbling moment in my life had been when I had to stand in front of this attractive, and probably younger than me man I had just met in my bra and underwear discussing my floppy belly and letting him photograph it. On this day I would have said it was this; this moment in which I had to stand, NAKED in front of my boyfriend and this man who was still basically a stranger and let him push and pull and lift and adjust my skin and fat, all while drawing on it in that purple marker.

“Can I have a picture of what you cut off?”

He stared at me. “Uh, I guess, if you want one”

“Yea, I do! I never got a picture of my removed stomach, or my gallstones ….” I trail off the way that you do as those drugs kick in.

I swear he rolled his eyes as he said “Sure, you can have a picture” but weeks later when he gives me the picture he says he didn’t. He’s probably right.

My last words in the operating room before they put me out are to a nurse “Please make sure he gets me that picture, you can text it to me” She agrees, probably to keep things moving, and I began slowly reciting my phone number.

Next thing I know I am being wheeled through the doors of the recovery floor saying hello to everyone. I’m happy. I’m alert. I’m starving.

I order food and Steve and I talk on and off, I pick at my food – I am in great shape.

My doctor stops by to check on me, to show us a picture of the removed fat and skin, which weighed just about SEVEN pounds. He says I did great.

Everyone who checks on me is impressed with my energy, I get to see a little of my incision, the nurse tells Steve to take a picture with my phone so I can see and I cry a little and then tell everyone I meet for the rest of the day that I saw my vagina.

I have a brief dizzy spell on my way back from a loosely escorted trip to the bathroom and pass out before Steve even got back home. My binder is opened three to four more times, nurses check on me, doctors check on me, students study me.

I recover. I eat eighty seven ice pops, watch some Friends and go home at noon the next day.

So glad I didn’t sleep later and miss the whole trip!

 

hospitalrelease