Thursday, June 26, 2014

Nacho Business

As I wrote last week- I'm self pay, thanks to a generous trust I received when I was 20. Ten years later, I'm using a chunk of it to pay for my surgery. (I know I've very very lucky because insurance in VA does not cover WLS at all. It's one of the few states that automatically categorizes WLS as a cosmetic procedure which is ludicrous.) My financial manager has made no criticisms of how I choose to spend my money or anything else in my personal life, she's never been a "life goalie." She's always been really supportive of my decisions and had a "how can I help you achieve your goals" attitude.
Last week I sent her an email, letting her know about my intent to have gastric bypass, and that I'd need to free up some cash for the payment.

Not 20 minutes ago, she walked into my shop, greeted me, and proceeded to say " I just got your email about the weight loss surgery! I'm sorry I haven't responded, but it just seems so drastic!" She is a thin, athletic, and pretty woman. She looked at me with concern. "Do you know anyone who's had it?...." I answered her questions as best I could - mentioning that 2 people in my life have had it and it's saved their lives, even though they gained some of the weight back.

UGGGGH I don't know if I'm more angry that she felt the need to make any comment at all, well-intention or no---- OR if I'm angry that she sensed that it was my mom's idea originally ---- OR if the fact that she got a visit from my dad this morning and she's acting as his mouth piece. I wouldn't be surprised if he was more comfortable talking about this with her than with me.

I'm also upset that she felt it necessary to come speak to me about this highly personal decision. please don't judge me. This is hard enough.

update: looking back on this months later, I can sort of see that she wanted to be supportive of me. which doesn't necessarily mean supportive of WLS. She's always been in my corner, and I shouldn't have been so quick to react defensively. In the end she helped me free up the money once I explained that WLS was definitely happening.  It's "Get on board or get off now."

Wednesday, June 25, 2014

Sugar fail

So trying to go cold turkey on sugar was a total disaster.

It was my first day volunteering for this local non-profit that teaches healthy cooking to children and single mothers/low income families. It's a little ironic considering how much of a problem I have with food, but it feel like its a good way for me to use my culinary education, make an impact, and be mindful of what I'm eating.  Anyway so I did my first class (Garden to Table) and felt okay for most of the morning, and then once the class was over around 1:30 I just felt everything start to crumble.
I met my mom at one of my favorite bagel places for lunch, and didn't want to eat anything. My poor mom was like, "what?! You don't want to eat?" I just sipped an unsweetened iced tea and excused myself for a 10 minute bowel explosion in the bathroom. I was sweaty, tired, cranky, nauseous - it was like I had a really terrible flu.
I came home and tried to rest, but it just got worse. There was the easy way to fix it, and I admit it, I succumbed. I had a can of baked beans -ugh a whole can of high fructose corn syrup. And then I felt fine again. Maybe a slower weaning off of sugar is the way to go.

This morning I made my first smoothie (of many). 

(Serves 2)
10 tbsp organic whey protein (5 tbsp is one serving)
5 big strawberries
Handful of blueberries
2 kale leaves
1.5 cups 2% milk
1 tbsp agave syrup
Lots of ice

Tomorrow I'm going to try it with organic hemp protein and more kale and blueberries. David really liked it, and I have to admit the flavor wasn't bad. Not chalky at all. Need to pick up some bananas.

-----consultation is today!------

Nervous and excited! Seeing Dr. T this afternoon, and finding out if I can have the surgery. I hope the fact that I gained weight since the seminar doesn't hurt my chances! I gave up smoking so hopefully they'll understand the gain. 

Dr. T seemed really nice at the seminar, and very forthright. He was upfront about the risks and possible complications. I have a lot of questions for him, including :

1. Does he want me to start the pre surgery diet today? Because I totally fuckin will.
2. Will I leave the hospital with a drain?
3. Is my acid reflux a problem?
4. Can he write me a prescription for birth control?
5. When do I need to pay in full by?
6. Can I get a cash discount?
7. What can I do to reduce loose skin?





Tuesday, June 17, 2014

Last Day with Sugar

So get ready for some mopey sad sack posts for the next 4-5 days. I've been nicotine free for 3 weeks now, so it's time. Sugar is the hardest thing for me to give up, so it must be done well before the surgery. I'm wary of artificial sweeteners, so from tomorrow forward - no more added sugar items. I'm hoping cold turkey is the way to go.



I think I'll miss sugar more than nicotine.

Pudding Scum

Since I've started trying to address my eating issues, I've felt like lumpy pudding.

Like my mind is a mix of bubbling negativity - self-pity, shame, self-hatred, loathing, disappointment, anger, resentment, sadness, lots and lots of fear. But no one knows because there is a pudding-skin thin layer of composure on top. Every time I speak about the issue, or listen to someone else talk about their feelings- tears just well up out of nowhere. I have cried 5 out of the last 7 days.

Therapy makes me cry. Group makes me cry. The song PYT by Michael Jackson makes me cry apparently - it came on the radio in the car and I lost my shit.

I'd feel better about this whole Feeling my feelings thing, if i wasn't also eating them. (I ate an enormous eclair yesterday while thinking to myself - why are you doing this? you are calm, not hungry, and already pretty numb. why are you even EATING? STOP!)

I did have three little breakthroughs yesterday.

1.) I don't care for my therapist. At all. She rubs me the wrong way, and I cannot fucking stand the fact that she closes her eyes and doesn't make eye contact. But she finally said something that might be helpful. Unfortunately it wasn't until I started researching it that I sort of figured out what it meant practically. I'm very practically minded. It's very nice to have goals, but if I don't know how I'm supposed to reach them, it doesn't do any good. She is TERRIBLE at explaining how therapy works. But she came up with breakthrough number 2 so I guess I have to stick with her. ugh.

2.) I need to become my own source of comfort. I can't rely on my husband or anyone else to provide that for me. I need to build up my own separate voice/person inside myself, who can reassure and soothe. Sounds a little crazy, but apparently it's a real thing that works for people. This article in Psychology today was pretty interesting.  I think I am a pretty compassionate person (I donate time and money, I volunteer to help strangers, I comfort friends and family in times of need or stress), but I have never extended to myself the same compassion or open support that I'm willing to give freely to others. 

3.) I signed back into my old fitnesspal account and saw some of my old recipes from California, and was struck by how HEALTHY it was! it was all veggie bowls, salads for lunch, and lean meats. no cheese toast, no 12 oz chocolate bars for snack, no box of cookies daily. And I went to the gym after work at least 3 times a week - plus biking to work! Maybe THAT'S why I was so happy in California. Maybe I wasn't eating healthy and exercising because I was happier, I was happier because I was eating healthy and exercising. 


I am blowing my own fucking mind.

Wednesday, June 11, 2014

Plus Size Clothing



Eshakti makes affordable cute clothes that you can customize. Like that dress but would like it better with long sleeves? You pay like an extra $7 and BAM! you get long sleeves. It's custom made so expect a month for delivery from India.


ASOS is an english company that makes super flattering and stylish clothes. ASOS CURVE is their plus size label, and it's fantastic. Plus free shipping to the us. Free 2 day shipping if you order over $150.

Seeking Comfort

Could it be that simple?

My therapist thinks that I might be turning to food for comfort.

Edvard Munch "Comfort" 1907

Makes sense I guess. I started sneaking food and thinking obsessively about it when I was around 10. My mom and dad were pretty out of it for a few years after my brother died, and they couldn't really take care of me emotionally. They didn't put me in therapy, and they both just kind of shut down for a long time.  We weren't a very snuggly family. I don't remember a lot from that time, but I remember being anxious, lonely and frustrated. I snuck food up to my room and hid it. I brought food from school I ate alone, sneaky, and for a moment, happy and calm.  The minute I had access to a car and could buy my own food, it got 10x worse. Fast food, bags of candy, trips to the lindt store, but even then I wasn't really overweight because I was playing sports.

I still have the same habits - to an even more exaggerated and extreme degree.

Something triggers.
I start obsessively thinking about food.
I get the object/objects of my craving. Often one thing is not enough. Sometimes it's about volume.
I take it home and either hide it or eat it immediately if I'm alone.
I feel calm, and disgusting. But calm and whatever was bothering me is now buried under pounds of food.

What makes this really frightening is that if this is why I'm eating... how can I stop? If I get bariatric surgery without addressing this problem, I'll end up totally lost and unhinged.

What do normal people find comforting?

Time to ask people on BariatricPal I guess.

Tuesday, June 10, 2014

Gaining, Group Therapy, Emotional Eating, OH MY

Current Weight: 310.9lbs.

That number just makes me want to barfcry.

Some people have to work really hard to gain that much in such a short period of time, and they aren't trying to get better.

To be fair, I have not been doing any kind of dieting. I regularly eat massive amounts of bad-for-me foods. A pack of cookies a day, plus burgers, plus cheese and snacks and sodas. But when I think about not doing it, it's like a mania takes over. I get anxious and upset when I even think about not eating what I want to. This happened recently:

When we were driving home from Sunday dinner at my parents house, I asked my husband if he wanted to stop for frozen yogurt or milkshakes. I had been excitedly thinking about it for the last 10 minutes. He said neither because he wanted to fit in his suit for his friends wedding coming up. Insanely/Selfishly/Narcissistic-ally I took that as a slight ('if you think you're too big, then you must know that i'm a cow. maybe he just doesn't want me eating. he wants me to be skinny, he's unhappy with his fat wife.' These are the thoughts of crazy-SBB. Regular me knows that yes, my husband wants me to be thinner, but only because I want to be. He wants me to be healthy. He doesn't want to make me suffer or deprive me or be unhappy. And then I said "Yeah, sure, I don't need dessert."

And the craziness crept back into my thoughts -  I started thinking about my habit of emotional eating, and how upset these Sunday dinner sometimes make me. How out of control my emotional eating is. How sometimes the only way I can feel whole and peaceful is to eat so much that it hurts. I eat when I feel anything. I eat because I want to feel nothing. it's like anesthesia.

And then I got anxious. Because I was upset about something and I couldn't have food right then. Because I couldn't do anything about all the feelings that being in therapy is bringing to the surface. I was literally driving the car and obsessively thinking about food. Knowing that food is only a temporary anesthesia. Knowing that food only makes the shame worse and the feelings more crushing. And then the anxiety started to really spin out of control. I was a mess inside my head by the time I parked the car at home.

I picked up my purse, and it felt kind of heavy. And then I remembered that there was a box of cookies in my bag, and just like that... the anxiety disappeared. I knew what had to be done to feel better. I would eat the cookies sneakily, while my husband showered. And I'm ashamed. I ate them. I didn't stop with one. I ate the whole box.

This happens at least once if not twice a day.
Emotion --> Food -> Numb --> Wears Off --> Shame --> Emotion --> Food --> Numb --> Wears Off --> Shame --> Rinse & Repeat

I don't know how to break this emotional eating cycle. I eat when I'm stressed, anxious, upset, sad, self-pitying. I eat because I want to eat. I eat because I'm fat. My fatness is the source of stress with my relationship with my father. That's really the only thing I'm sure of. I don't know why I'm so unhappy with myself.

Because truthfully - My life is good. I love my home and my husband. I love my job, although it's stressing  me out. I definitely have some damage in my past, and my relationship with my parents is a fucking nightmare, but I don't have anything at present to really be unhappy about. But I feel like there's a huge bubbling cauldron of shame inside me. Just boiling with acid and self-hatred. It feels like heartburn sometimes. Mostly it feels like hunger.

----

So I'm a little vulnerable right now. I had my first group therapy session with people struggling with similar but different issues. None of them have weight issues, but they're in therapy for stuff like depression, social anxiety, and addiction. It was draining but really helpful. It was comforting to know that I shared a lot of problems with others, and that some of them had problems that I didn't.
The shame-cauldron was definitely there - bubbling away under the surface for the whole hour. When it was my tun to speak, I could barely keep from crying. I felt like a big raw wound, held together with skin and hunger.
Immediately after it was over, I leaped into my car and went to the grocery store. I was definitely a little manic. I told myself I was there for lemons.

 But I went through my usual grocery ritual - knowing full well that I'm an emotional mess and I'm eating because I'm upset.

Pick up lemons.
Look at the muffins and pastries. Persuade myself that that's not what I want. Even though I really want it. I'll keep moving until I find the right thing.
Look at chips. Pick Lentil chips because they are "healthier" but it's not what I'm craving.
Oo! Green veggie juice with lemon. it's like 4 servings of veggies, and I'm thirsty.
Look at cookie and chip aisle longingly. Move on because that's too bad.
Move onto ice cream - I think that's what I'm craving - but have to walk through dairy and eggs section, so I pick up cookie dough but it's organic so that's a better than the stuff with perservatives.
Ice cream aisle finally - pick up some Ben & Jerry's greek Yogurt in peanut butter and banana because it's delicious but not as bad as the full fat chocolate explosion that I really want.
Get some magic shell on the way out because I'm not a fucking saint.
Check out. I grab a snickers peanut butter bar to eat in the car, because I can't eat ice cream in the car. No spoon.

So the pattern is Deny myself, Healthy choices, Deny myself, Bad choice, Okay but still giving in, Bad Choice, Give up entirely. Eat everything.

Is denial still an option?



Friday, June 6, 2014

SPCA Bow Wow Walk 2014

As much as I dislike exersizing right now - not in general - but at this weight it is very uncomfortable - I actually had a great time at the SPCAWalk. My mom's team raised over $1000 but we were the only walkers on the team. It was a 2.5k walk, with 300 dogs and even more humans, and it raised over $40k!! I hope we do this twice a year. So proud of our SPCA! We're a no-kill shelter, and I'm so proud of all the good work they do.

And despite how red I am in the photo, I actually had a great time and didn't hurt afterwards. It felt pretty good. Now I'm so excited to move forward with the surgery, because I keep thinking about how much better it will be when I've lost some weight.

Buck (my dog) had a fantastic time and slept for 6 hours afterward.