weight loss surgery

crying over pea soup

Posted on by thenjaesays

Every now and then I forget that I had weight loss surgery. I mean, I obviously don’t forget, but its been almost eight years now so it isn’t something that I talk about or even think about on a daily basis. What I have never forgotten is the support that I got from the few people who knew I was taking that leap. In fact, I vividly remember it.

Standing in the dusty elevator of my new primary doctors office, detailing the outcome of my first visit to my cousin via texts. Wearing my uniform of snug jeans, flats and a black blouse. Sharing with her, before anyone, that he had referred me to the Weight & Wellness program for a surgery consult. She followed up with kind words and heart emojis.

I remember driving home overwhelmed; Steve waiting at home to hear how things had gone since it was a new doctor and I went with a laundry list of things on top of struggling to lose weight. I remember feeling embarrassed that this seemingly shameful thing I might be embarking on also felt like such a relief. I can practically picture his face, from across the room, looking at me like an idiot about to squander an opportunity. In fact, part of his reaction after a chronological list of weight loss attempts and restrictions and diets that he had witnessed in the time we’d been together was “….you’d be stupid not to do it”

I have a memory of calling my parents and them maybe not fully being on board at first – but I can’t remember the details because before the end of the day, I was walking into the grocery store and my mom called back. We talked about all the ways our weights, or the perceptions we had or thought others had about our weights impacted so many small things in our lives and how exciting things might be on the other end. I remember driving in my dented and rusting car, home from work and talking about it with my dad. I will never not remember him saying “What? Why? You don’t need that, we just saw you, you look good” and me replying about how I felt and him saying “If that’s what you want to do” …. and then booking a flight for my mom to be there with me when it was scheduled. And then when it was postponed a few weeks before over some insurance timelines, he rebooked her flight and he came, too. He slept on an air mattress in our living room, the needles of the Christmas tree inches from his face. He treated me to my last “food funeral” – a meal of poutine and wings at the back corner table of Stones. He even came in the grocery store with me afterward to peruse the selection of Pepperidge Farm cakes in the freezer – and helped me eat one with nothing but forks back in the crowded living room. In the days following, when I could only have liquids, he offered to forgo some local eateries he and mom wanted to try – so I didn’t feel bad, or left out, or… hungry. He bought me an overpriced bowl of pea soup that I sipped.

I scrolled by this picture in my phone tonight. It was in the scads of photos I saved and took screen shots of the week he died. It’s always been a favorite photo of mine – his smile, knowing how happy he was to be there. It’s from the pea soup day, so maybe this memory and this support was part of why I’ve always loved this photo. And if it wasn’t, it certainly is now.

EMDRUSERIOUS?!

Posted on by thenjaesays

Earlier this year my therapist … Yes, I have a therapist and I have been seeing her since the start of this year. For a myriad of reasons, but mostly the culmination of stressors in life resulting in me losing my ever loving shit over a pork loin (I mean, it wasn’t over the pork loin) and screaming like a wild animal and then sobbing off and on for several hours before slapping myself in the face twice (one on each side, DBT emotion regulation, hush) and beginning a low dose med.

So anyway, my therapist asked me if I would like to try EMDR. I remember thinking that it was just a trendy intervention and my coworker at the time referred to it as “snake oil”. I hesitated but also was curious about the process from a professional standpoint as well as personal. Would it help me to reprocess things that were impacting my life or way of thinking years later? Would I want to offer this as a service to clients in my professional practice? I decided to go for it.

For those of you who aren’t familiar, EMDR (Eye Movement Desensitization and Reprocessing) is a psychotherapy method that is used to resolve unprocessed traumatic memories in the brain – basically allowing the brain to use it’s natural healing capabilities rather than to change the emotions, thoughts or behaviors that are the result of the distressing events.

I’m a little skeptical because it eventually involves a light bar and this whole thing is virtual because we are still in a covid-esque world. Is this gonna work? Is there anything that even needs reprocessing? Is it snake oil?

Fuck it, I’m in.

I’ll save you all the details, but we work on a timeline of things in life that were distressing. I’ve had a pretty good life so I was a little surprised at correlations I made between places I have lived, people I have known and all the food and body stuff. I remember when she suggested it, I said “Isn’t the for people with unresolved trauma?” and she said “Well your experience with obesity, and dieting and eating disorders has to have left a mark”

Damn… but, you’re right.

We explore different periods of life, highs and lows. We talk about diets (so many diets!), we talk about family culture and experiences and I call my mother at least 3x asking about different things I remember and making her feel bad or question instances herself. I jot down things that come up, I make connections between why I eat what / where / when and why I have done or not done certain things. Health clubs with my mom and grandmother as a kid, slim fasts and supplements and weight watchers in grammar school. A weird memory about a spotted pear on the front porch with my childhood best friend, rude comments people made, things I tried or did to alleviate the distress and emotional toll of living in a body I didn’t feel comfortable in. Some real deep dives on things that always seemed like surface level whatever, now felt like revelations. The more I talked, the more I heard what I was saying. The more sense things started making, even things like my lack of returning to places where I previously lived. Honestly, it’s wild.

Then comes the light bar and the reprocessing and installation.

One week she says, “okay, next on your timeline is the dinner dance dress”

I stare at her through the screen “What about it?”

She says “I don’t know, that’s all you said” and try as I might, I got nothing. I said “uhhhh I cannot remember what was distressing about that. If I had to guess it was being an almost 200 pound girl who couldn’t fit in the dinner dance dresses other girls my age were getting, but I don’t have any feelings about that”

aaaaaaaaand I was stunned.

I remember EVERYTHING, I can transport myself right back to almost any emotional experience in my life and I couldn’t do it. There was nothing. Logical explanation but nothing emotional. Nothing shameful. Nothing that felt like some distressing life altering experience.

“This is weird” I say.

She explains that when the brain reprocesses events, sometimes what happens is that later events are no longer distressing, because what was causing them to be that way has been reprocessed. Even as I am typing that I’m thinking how amazing the whole thing is. Then what usually happens when I take a drastic step or big leap, I wish I had done it sooner.

“I could have been unburdened years ago, EMDRuserious!?”

We laugh and she says, “so do you still think it’s bullshit?”

And I don’t, not even a little.

thankslosing

Posted on by thenjaesays

The only time in my life I have spent a holiday entirely alone was a Thanksgiving six years ago. It was the best and worst day. It wasn’t some sad story of being alone, but choosing to be by myself, for what could only be reflected on now as, the greater good.

Steve and I didn’t always have the chance to leave town for Thanks giving since one of us usually had to work Black Friday (please note this capitalized itself) Anyway, on this particular thanksgiving weekend, we were off and planning to head to his family for the weekend. A last hurrah of sorts since that Monday was my then top-secret weight loss surgery and my parents were coming into town for that. Emotional as I was about trying to see everyone and do everything and keep things normal, since I had no idea what was on the other side of Monday; we went through all the options. We batted around taking two cars, so I could come back early – or maybe my parents flying into a NY airport so we could all come back to Massachusetts together. We toyed with all the ideas until the nurse called a few days before to go over what to expect when I checked in. In that call she asked a very specific question about a cough, or cold or congestion and that if these symptoms were to arise they may have to postpone my surgery. Well, that sealed it, Steve was going, and I was not. It seemed too risky to subject myself to the coughs and sneezes or half sucked cookies from the mouths of children.

I’m fine staying home I say at least forty times; before finally believing it after fifty or so. We had a tearful goodbye (pretty sure the tears were all mine) with easily seven hugs on the way out where I insisted to help carry his stuff to the car. I was on the cusp of potentially changing my life (spoiler alert: totally did) and maybe a little resentful I had to sacrifice these last few days to do it. Which sent me into a resent spiral about all the choices I made or didn’t make and the influences I had (or didn’t have). After a brief pout/sob combo on the couch, I pulled up my (really) big girl panties and set out to get some groceries for one.

I wanted a normal thanksgiving dinner but scaled down to just me. I poked every fresh and frozen turkey in the store before settling on a turkey breast. I got a couple potatoes, some stuffing and of course, I got the food of the gods  – canned cranberry sauce complete with the lines. I got some wine. I watched bad tv and set the coffee table for my food funeral; my last gluttonous meal before I started liquids over the weekend.

The anticipation was thick and my mouth near watering…

The turkey was rubbery, the potatoes were weird and gluey as if I had never made them before – at least the stuffing was stove top, so you know it was great. I cried. Over food. By myself on the couch, at 278 pounds, I sobbed over the disappointment of this last supper. I cried while I scraped it into the trash. Tears flowed while I washed the dishes. Pretty sure I wiped my nose on my sleeve, drank more wine, and then plopped back on the couch and ate the innards of the pumpkin pie I made – because you’re not not going to make yourself a pumpkin pie on your last thanksgiving.

So dramatic. Last Thanksgiving.

I had no idea. I had no idea that the following year I would be able to eat the same delicious things I had always eaten on Thanksgiving, just less. I didn’t know that for all the years to follow there would be real turkey, brined by me and fluffy bowls of mashed potatoes and delicious stuffing (full disclosure: still stove top sometimes!) and wobbly canned cranberry. I didn’t know I would still be able to eat pie, and turkey-stuffing-cranberry sauce sandwiches on rye bread for days to follow. I wish I had known, to save myself the grief – I dubbed it Thankslosing: a small little pity party for all the things I thought I had to leave behind. Turns out everything I had to leave behind belonged there and helped me get closer to the life I have always wanted; self-awareness, a healthier body, which I don’t hate to look at; an improved relationship with food, a career path, a level of self-esteem I did not know I was missing and, of course, a heft of gratitude on days like this. Guess it was more like Thanksgaining.

destination addiction?

Posted on by thenjaesays

I recently saw a quote about “destination addiction”. The term was used to describe the idea that happiness is a place that we can find and get to somewhere else than where we are now. I was curious so I dug a little deeper and another article I saw referred to it as people who believe success is a destination. The most relatable, was what I saw in a Psychology Today article when I read a little further and it said that destination addiction was “a preoccupation with the idea that happiness is in the next place, the next job and with the next partner.” The article went on to say that until you give up the idea that happiness is somewhere else, it will never be where you are.

Man, that’s familiar.

I don’t consider myself as ever having been an unhappy person. I was always pretty contented in most areas of life, and the company I kept. A little bitchy, over opinionated, easily irritated maybe, but not unhappy. I would have been more comfortable in a smaller body and with a better job or a career path, sure, but mostly I was good. I was good right up until I wasn’t.

I remember sitting with the counselor at the hospital for the weight loss program I was entering, during the psychological evaluation she asked if I was married “not rolling down the aisle in an expensive dress in this body” I responded, or when she said are you planning to get pregnant (this is a no-no for roughly 18 months post op) and I laughed, I don’t think think I can add the weight of a baby to this body. These are just two examples of things that I wasn’t doing because I thought they would be better and make me happier if I wasn’t fat. (Turns out that’s not why I wasn’t doing them but that’s another post) 

I know, and know of many people who think that their happiness is still out there, that there’s just one more thing they need to do to complete the riddle and BAM- HAPPY! Well, prepare to have your dreams dashed, kids, ain’t gonna happen. I can tell you for certain that losing weight, whether it’s 10 pounds, 80 pounds or 180 pounds is not going to instantly change your life and give you all the things you think you want / need / deserve. I can also tell you that getting married or having a baby isn’t going to fix your relationship, a new job may help your bank account and even your self esteem, but it won’t make you happy if the other puzzle pieces are still strewn across the table of your life.

I just thought of something someone said to me awhile ago that was laughable, honestly … they said “You don’t understand, you always get everything you want.” I am pretty sure I gasped aloud. Me? Everything I want? I feel like it took me until I was midway through thirty to even consider what I really wanted, and by the time it was in action I was practically forty.

That wasn’t the part though, it was that I GET everything I want that slayed me. I asked for a clarification, I said ” What’s this everything I get?” They did not miss a beat. “You didn’t want to be fat anymore, you’re not. You wanted to go back to school, you are. You wanted a newer car that wasn’t rusty and dented, you got one. I mean ….”

Ain’t having it.

“You mean what? I didn’t just get those things” “Okay fine, but you got them easier than I get shit.” This turned into a conversation about the hoops I jumped through to “not be fat anymore”, the doctors appointments, the embarrassment, the waiting room practically public weigh-ins, the re-learning how to eat, the surgery, while minimally invasive, was still surgical. I went on a tirade about sure I am back in school but not without applying to several programs, tracking down transcripts from a college I went to twenty years ago for less than a year that tried to say I still owed them money, letters of recommendation and applying for even more student loans. The car? Gimme a break, I traded in my car for pennies, and put the rest of the down payment on a credit card. (former poor credit use also for another post!)

I think that this person and maybe a lot of people don’t want, or can’t put the effort into certain things because what if they fail? What if the desired outcome isn’t achieved (BUT WHAT IF IT IS?!)? I didn’t tell most of my family I was having weight loss surgery, because what if it didn’t work? Even the people I did tell had opinions (both positive & negative), how about when I decided to go back to school, the opinions or the pressure to “get it right” this time. That shit sucks, but really, not as much as being in your own way, relying on some other person or event to give you this euphoria.

People preach self-love and self-care and these are important, but you gotta like yourself first, and decide what’s important, what life you are going to create for yourself, and do it. There’s your success, your happiness.

Anyway, what I gathered from the destination addiction bit is that we always think there’s something missing, and that something will miraculously “fix” or improve life. I half buy into it, because my life has drastically improved since weight loss (my personal destination) but not as a direct result of weight loss. My doctor wasn’t like, “Okay, that’s eighty pounds, here’s a graduate program, a career path and healthy boundaries, go forth with the happiness.” I had to do that.

I think there’s an expectation for these things to present themselves and when they don’t, we become discouraged and/or depressed, so we assume there is another next thing that will do it. It’s a cycle that just leads to disappointment, comparison and feelings of low self-esteem and even failure. Why wait on something or someone to make you feel that way, when it’s the opposite of what you want?

If I had to define myself as happy or unhappy, I would say happy; but it’s more than that. I am comfortable, in my skin, my life, my career path, my relationship. I feel validated and accepted by the people and places I assign value. I don’t subscribe to a societal checklist that measures my success or happiness by the things I do (or don’t do). I have also known people who have the big house, the marriage, the kids, the fancy job, all the material possessions and invites to everything social and they aren’t happy either.

Happiness isn’t a destination or posession, it’s comfort in knowing that you are living your best life in the moment it’s happening. Sure there are improvements you can plan to make, but they should enhance those feelings, not be responsible for creating them. So I say make yourself comfortable; not complacent and lazy, running through your Netflix queue hoping happiness will knock on your door. Truly comfortable with yourself; in your body, in your relationships, in your career, your family, your hobbies … get comfortable with who you are and what you want and see where that takes you.

ten

Posted on by thenjaesays

I was born at the start of the tenth month, and took my first breaths around ten thirty in the morning.

When I was about ten or so, my grandmother, in an effort to motivate me to learn my multiplications tables, promised me a “life sized” doll from the Woolworth’s on Main Street in Woodbridge when I could recite one through twelve.

I remember walking behind her one afternoon counting on my fingers for the ones I wasn’t sure of, and even though I’m sure she knew, that Walking Wendy-esque doll got buckled in next to me when we left.

I laugh a little thinking about how my grandmother also ended up being the person who picked me up from summer school after failing algebra my freshman year of high school.

Ten is also the number of years it’s been since she passed away. The morning of her funeral mass, as I limped, sobbing into the church held up by my father and someone else I can’t picture I made a pit stop in the vestibule bathroom. My aunt came in with me, and I choked out how this was the worst day of my life, she assured me it wasn’t, which was both comforting and frightening.

Ten is the number of months it has been since I have seen my parents; Ten is roughly the amount of years I spent living in Wisconsin with my family, (two thousand and) ten is the year I quite my job and weaved my way through ten-ish states to get to the apartment that I now live in and the person I have been with for ten years.

Ten has been a lot of little things that have contributed to a lot of big things for me.

Today, ten is heavy.

It’s sulking on the couch, taking forever to get out of the car, too much trouble to tie my sneakers heavy. It’s sports bra indentations hours after it comes off, dresses that won’t zip and shirts that ride up heavy.

Ten is the number of pounds I have gained in the last ten months, when I was still trying to lose ten more.

Ten pounds is nothing, I know, except it is the first weight I have gained in almost 5 years. I can make the argument, as others have for me, that my weight gain is related to medications and inability to exercise freely, or truthfully, even take the stairs more than one at a time … for months now. This doesn’t make it any less than ten and it doesn’t make it any lighter.

I just started a new medication that will hopefully lead to remission and I’ll be taking the stairs and walking around the park, hiking and yoga-ing and Zumba-ing my heart out again soon, but for now, I’m taking some solace in the fact that the first dose already has me feeling ten times better.

40.5, RA

Posted on by thenjaesays

Just over six months ago I turned 40. I was temporarily unemployed, buried in coursework and trying to secure an internship but feeling mostly optimistic about life. My parents had surprised me with a long weekend visit and treated us to meals and snacks and great company. I had no major life complaints. I mean, I couldn’t open the resealable Sargento cheese packaging without a struggle and I suddenly needed Steve to open what seemed like every jar or can, but mostly happy and complaint free.

Sometime around Halloween I experienced some aching in my wrist and hands that I attributed to more frequent driving since I had started driving for Lyft shortly before that. I used ice packs, heating pads, super duper extra strength tylenol, advil that’s generally off limits as per weight loss surgery and I got a little crabby about it. The pains and cramps came and went, sometimes I would wake up with them and they’d go away by lunch, sometimes they would linger all day, and invite my elbow or shoulder to join.

In November I clearly remember being bummed about how I felt and trying everything I could think of , including sleeping on my back so I didn’t crush my arms, or sleeping with my arms out straight when I slept on my side. Some nights Steve moved to the couch and so some mornings I felt even worse. I had definitely begun experiencing depression, which is not wholly unfamiliar to me, so one morning I got myself up and dressed and went to a nearby park. I walked about two miles around, up and down steps, listened to music, laid in a pile of leaves and confessed my depression to Instagram and felt like I was gonnna be just fine…. until 2 am when I was in excruciating pain now in my hips, legs, ankles, feet and I was home alone laying in bed crying and asking out loud what the fuck was going on and ice packing, heating padding and adviling myself back to sleep.

Before I knew it, it was December and now my feet hurt frequently, a lot like my hands. Both feet, in the heel and the ball and the arch, I was trying to figure out how to walk without putting pressure on any of those points. Well, I thought, you’re out of shape and maybe those sneakers aren’t a great fit. I tabled exercise and slowly anything that required me to exert much effort. I felt exhausted and sad and heavy and uncomfortable in my body. I started wearing the same pair of flats, to my internship interview, to Christmas with Steve’s family, to the grocery store all hoping nobody would notice how I was walking and that another advil might keep me looking normal. I’m not a hypochondriac, I truly believed whatever was going on was my doing, so I wanted to take all the steps to remedy it before I went to my doctor because there had to be something I was missing.

I put a lot of time into trying to determine what I might have done or what I was doing that was causing my body to ache and rebel in such a frustrating manner. I did a lot of reading, a lot of trying supplements and diet modifications; I gave up keeping protein bars in my bag or buying them at all, I considered going dairy-free, gluten-free, seeing how many things I could hide turmeric root in, I started drinking tart cherry juice, I read about inflammation, bought plantar fasciitis braces from an Internet ad, cried myself to sleep, took stairs one at a time at the pace of a sloth and finally, at the end of January, when I took my flats off and my ankles were swollen, and there were visible deep lines areound my foot from my shoes and my my feet were swollen and misshapen looking I called my doctor the next morning.

The appointment was three days later and I was so hopeful that he would have an answer, because after all my trying and suffering I didn’t. And I didn’t know how to explain what I felt to anyone, it was a burning, aching, sometimes restless, sometimes felt like what I imagine a broken bone felt like pain that produced anxiety in the simplest tasks – getting out of bed, getting into and out of the car, any number of steps with out without a handrail. I didn’t tell anyone really, unless they saw me and I (felt I) had to explain myself. Coworkers at my internship who would end up in the back stairwell I was trying to hide in while doing my  toddler steps up or down – and hold the door for me (so nice!) but also watch me and make me more aware that this wasn’t normal.

The upshot of the whole doctor appointment, if you read the last post was he ordered some blood and xrays and said come back in a week. They did images to check for arthritis and he said everything looked normal and he wanted to move on. I pushed for a referral; a podiatrist, a neurologist, a rheumatologist, anyone who might have a different view or specialized eye. He gave me the name and number of a rheumatologist and had me come back in 2 weeks. I made the appointment that day but they didn’t have an opening for almost 2 months, “ Have your doctor call us and we can connect him to Dr.’s secretary and maybe they can get you in sooner” so I tell my doctor this at our next meeting, and he says “You should be fine” and let me tell you, I wasn’t.

It was such a dark time in my heart and my mind and I couldn’t even talk about it. I started to question how much pain I was in, and others didn’t see it or know it because I still worked and interned and cooked and grocery shopped and wrote papers and did all the things I had to do. As my appointment got closer I started to feel hopeful and then anxious, what if he couldn’t help me, what if this wasn’t something anyone could identify? I got sad, rather than happy thinking about the summer; I can’t walk a mile on a rocky dirt road to go to the car rally we go to, I can’t sit on a plane for 5 hours to fly to Colorado, or a few hours to visit my family. I would think about going to the gym, even for the treadmill when I would feel less pained in the evening, but in the morning when I had to hoist myself out of bed with the help of my dresser and penguin walk to the bathroom, I gave up the dream on Zumba.

This is long and if you’re still reading, let me tell you, I’m okay. The rheumatologist was the right referral; it’s nothing I did or could have prevented, it’s an auto-immune disease. He said it was a great catch by my pcp and juvenile as it may be, I had to take that credit for myself.

Seronegative Rheumatoid Arthritis, what a strange thing to feel relieved by; an incurable, degenerative auto-immune disease –  but after six months, having my pain validated and labeled, and told there was treatment was the first time I felt hopeful in months. I got three prescriptions and he told me in a a few days I would start feeling better, and that a year from now I probably wouldn’t even remember the pain from this time. I asked if he thought I would have be able to Zumba again and he said “Totally” I called bullshit in my head but was grateful, and optimistic that, if he sees Latin-inspired dance routines in my future I can definitely live a normal life.

It’s been five days and I can’t believe the relief I have already started to feel, the way my mood has elevated, the way I just feel like myself again. I didn’t care that I chipped a nail on a can of seltzer, because I opened it myself, or that the first night I experienced a little insomnia because in my awakened stated I walked to the bathroom less like a drunk penguin. Maybe I’ll give that treadmill a try soon after all.

 

 

can you hear me now?

Posted on by thenjaesays

For the last few months I have had a lot of pain in my hands and fingers and my feet and toes. It seemed to come out of nowhere and I assumed it was that I was sleeping funny, or driving more or not getting enough exercise. So, I got a mattress pad, changed my vitamins, doubled up on my iron supplement, drank more water, added turmeric to my diet, soaked my feet in epsom salt, googled all things rheumatic and arthritic, and at least a handful of other things.

I also went to my doctor who ordered blood work and x-rays and questioned my low iron (full disclosure that’s when i realized i had missed it way more doses than i thought!). My primary doctor is a wizard; he basically saved my life on two occasions, so when he calls me and says “Uh, this all looks good” I’m deflated.

Don’t get me wrong, I didn’t want anything to be wrong, but something IS wrong, I’m not making it up, it’s obvious to the naked eye that there’s some swelling and redness, and sometimes the fingers and toes are tender as shit. Like bump a knuckle on the handle of the kettle and sob tender – wake up and wobble to the bathroom like a penguin tender. He refers me to a rheumatologist, who can see me this year but not for weeks.

I made the appointment and had a follow up with the wizard today. He started the visit like every one has stated in the last five years, “What do you want to talk about regarding your health today?” I start to tell him about my low iron probably being my fault, about my vitamin change and no longer taking gummy supplements. “Interesting” he stopped me, “Let me tell you my theory here”. He goes on about recent link in low iron and colon cancer “I don’t think you have colon cancer” (ok, good!) He says thee screening age has been lowered from 50 to 45 recently and “You’re pretty close to that” – I don’t think in the moment to say that I’m just as close to 35 as I am 45 – but he’s the wizard so I let him continue “let’s just get it off the table so we can focus on your other complaints”.

I’m not afraid of the endoscopy and colonoscopy that he wants to schedule – I get the itch for surgeries and procedures like other people do for tattoos (I’m aware this is weird). It’s that it’s not one of my complaints – hands and feet, let’s talk about my hands and feet! – when I googled (and you know I did) colon cancer and the risks, I don’t have a single solitary one of them except for this low iron bit. It’s also that it seems too thorough, even for him. He sent me for a head CT because I had several headaches in a short period, one of which lead to a fall – but it showed nothing. He also was very thorough about a lump in my neck that I thought was a swollen gland and ended up being a 3 cm nodule that needed an ultrasound and needle biospy (I’m fine) so his old school thorough approach isn’t silly. I agreed to go along with the tests, scheduled an appointment for April and left after what was only a 13 minute visit.

I got in the car half mad, half sad. I furiously texted Steve a novel about the appointment, I then texted a lot of the same info to a girlfriend. Why was this bothering me so much – why did I feel so frustrated when I left there. I drove to the grocery store and sat in the car trying to process the whole thing. Both Steve and my friend say better safe then sorry, humor him blah blah blah. And yea, of course they’re right. But, then what’s the problem ….

I ruminated …

One of my favorite things about my doctor, the wizard, is that when I first met him five years ago he was the first doctor in all of my then thirty-five years of living that truly listened to me. He didn’t dismiss my concerns or reduce my experiences or feelings down to my weight or high blood pressure like so many others had, he heard me, and he helped me. Today I felt like he was only listening to what I was saying so he could respond, it felt very much like an ‘Okay, but I’m the expert here’ moment – especially when referencing my tight weekday schedule and him saying ‘it’s one day out of your life, your health is the most important thing’ – when I’ve spent years making my health the most important thing. (It was reminiscent of the lady who tried to shame me into paying a shit ton of money for personal training by saying I didn’t want to invest in myself when there were still visible scars on my body from having more than half my stomach removed)

I got home still feeling UGH about the whole thing, I could feel it starting to seep its way into my mood and potentially my whole day. I just felt like some fat lump who couldn’t possibly know what was best for myself so I should just nod and agree and do what I was told. Maybe I should consider finding a younger doctor, or a doctor who sees more younger patients, or maybe, it’s not lost on me, that I just woke up on the wrong side of the bed.

Either way, I still have plenty of hours left to enjoy the day, so I am going to.

‘surgiversary’ is a made up word, but here we are

Posted on by thenjaesays

To be honest, I didn’t even think much about the anniversary of my vertical sleeve gastrectomy yesterday. Previous years have been loaded with comparison photos, follow up appointments and little celebrations treating myself to smaller size things or bites of foods I don’t indulge in often.

I woke up on December 1, 2014 and headed to the hospital with my boyfriend and parents. I remember weighing myself one final time before heading out (two seventy something) and being nervous we would hit traffic or something would derail my scheduled procedure. I can’t tell you much else. I remember waking up very tired, there was an incident where my catheter betrayed me and I wet the bed a bit, I barfed some black colored shit after my swallow test and I could barely stay awake any time Steve or my parents were visiting. I don’t remember any pain, and I left on the third day, but not until I could drink some sugar free carnation instant breakfast with a room temperature skim milk. I remember it was vanilla (yuck) and I waited until I could ask someone to track down any other flavor. Oh, and the drains were removed – weird (like, really weird) but not painful.

On this particular December first in 2018, I can’t tell you how much I weighed, I haven’t stepped on the scale in at least a week but my weight has been the same, give or take five pounds for the last few years. I had coffee and some bacon and a cheesy scrambled egg covered in everything but the bagel seasoning with a blob of ketchup. I did some homework, stayed in my sweats until late afternoon and then headed into the same area of the city for a comedy show. I had a cider, most of a slice of pizza from some joint on the corner of the steeet where we parked and then ate a piece (okay, two) of peppermint bark when I was back in my sweats. We stopped to look at Christmas trees because our prelit one ( also 4 years old!) moved to the dumpster after a few hours of tinkering with the lights. I didn’t really do anything special, and to be frank, that’s the very best thing about the whole process.

The one intentional thing I did was decide to revamp my Instagram account. For the last four plus years it has been riddled with comparison photos, nonscale victories, and all the weight loss surgery things. How many photos do I need to hold on to comparing a me that doesn’t look like me now, to another me that doesn’t look like me now? Or wondering if I would have lost the last twenty or so pounds I’d like to, if I kept doing Zumba like that post, or yoga poses in the other post. I can’t discount the role it (and all the people!) played in my journey and the success I’ve had but it just can’t be all I talk about anymore.

I was never trying to “get skinny”.  I wanted to be thinner, healthier, feel better, have more energy and be more active but I was so tired of obsessing over it for what equaled most of my life. I am all those things now, without having to drive myself mad and I still got to eat pizza. That’s something to celebrate.

forty.

Posted on by thenjaesays

In little more than twenty-four hours I will turn forty and I don’t give a fuck.

When I was turning twenty-five, I had only been transplanted in Wisconsin for a year or so from New Jersey and I remember panicking about that big fat scary number. I was sad about leaving my friends behind, about a new place, about everything. A few months before the big day I started seeing a therapist for the first time; I was terrified about getting older, having moved away from my then boyfriend, my parents getting older, finally finishing my undergraduate degree … I was thinking about all of us dying, about what I was doing with my life about how we even got here and everything getting scarier and closer to ending. I was a sad sack who did a lot of talking and only half the doing.

It’s laughable now because at twenty-five the worst things that had really happened in my life were some shitty friendships, less than stellar boyfriends, a series of years where I was starting college (again) and being fat.

I was almost twenty-seven when I thought I met the guy of my dreams and talked about marrying him. I was two days from twenty-seven when I drank entirely too much at a wedding after taking some pain reliever that caused a breakdown that landed me laying on the driveway, sobbing and that guy of my dreams and I breaking up on my birthday.

The rest of my twenties were only slightly tumultuous with a graduate degree, another half-assed relationship, a waitressing job I couldn’t stand but wasn’t ready to leave behind and happy hours and movies and lunch dates.

I panicked about my thirties which were kicked off with another waitressing gig, poor sleep habits, the deaths of my grandparents, the scale creeping uncomfortably over the 250 mark and plenty of other sad and anxiety producing things that I can’t even recall right now ….

because there are so many excellent things that happened ….

I reconnected with an old crush who kicks that dad jean wearing dream guy from my twenties ass, I moved (a thousand miles) away from my parents for the first time,  I had weight loss surgery and lost (& kept off!) over eighty-five pounds, I had some parts nipped and tucked, I got my shit together and applied to counseling programs like I wanted to do in my twenties, I fell in love with Vermont, I started going to rallycross events, I started buying myself flowers every week, I stopped over-explaining myself, I got over my fear of horror movies and am now obsessed with all the scary things, I learned how to make a killer latte, I embraced minimalism, I became obsessed with Zumba (I gotta go back!), I stopped saying yes to shit I don’t want to do, I went from making tacos without seasoning to having a slew of my own recipes, I started journaling, I started going for walks and hikes in the woods, I got better at following through on what I say I’m going to do, I took a week long vacation with my parents, I started this blog, I went to Colorado and cried when my plane landed and I saw the mountains (MAJESTIC!), I ate good food, I stopped apologizing, I laughed often and never passed up a craft cocktail. I learned things about myself (and others) that helped me grow and change and live what is in retrospect, definitely my best life.

I worried about all these milestone birthdays or getting older and it was for nothing. I can’t control getting older, only how I react to it, and if the next ten years are half as fulfilling as the last ten, I don’t give a fuck about turning forty.

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.