Monday, July 25, 2011
Stupid crap I used to believe
1. I used to believe I was going to get married-- the whole fairy-tale happily ever after bullshit, flying in the face of never having had any success whatsoever with any man I liked at all. After all, he was surely going to turn up just around the corner, foaming at the bit to rescue me, right?
2. I used to believe that you went to college, majored in what you liked, and got a good job that would support you, especially since you'd be part of a two-income family with the good sir who never turned up back in stupid thing #1.
3. I used to believe that when you had your degree, you got a good job automagically when you went looking for it, and even that colleges would help you find one.
4. I used to think the government was mostly looking out for the best interests of the majority of people in this nation.
5. I used to think God actually gave a shit about each and every person and would look out for you if you believed in him, providing satisfactory conditions in each point from 1-4 of my prior stupid things I believed.
Wake up and smell the shitty life I made for myself that way, huh? Here I sit, unable to support myself without living under my parents' roof, fat and manless and stuck with one pathetic teacher's salary, with failing health, and the government wants to turn me into even more of a penniless slave.
Now I look down the barrel of weight loss surgery, and I'm damned if I do and I'm damned if I don't, because either I can be sick and worthless from being fat or I can be sick and worthless from the side-effects of having RNY surgery.
Huzzah.
Tuesday, July 12, 2011
Rant follow-up
Don't tell me about God.
Tuesday, June 7, 2011
And never the twain shall meet.
- Rule 1: Mom is never wrong; she is always automagically 100% right about anything and everything. QED.
- Rule 2: When in doubt, refer to rule 1.
- Rule 3: No matter how selfish or misguided something Mom does, decides, or decrees is, that doesn't matter. Because it has been infallibly, carefully planned, calculated, and executed with 100% martyrdom to be For Me, and has been created by a master craftsman as the only thing that could possibly be the best action ever to do me the world's most good. (Refer to Rule 2).
- Rule 4: I exist in order to be told what to do, how to do it, and how to think about it. Difference of opinion over Things That Matter is not acceptable. (Refer to Rule 2).
- Rule 5: I must be in 100% enthusiastic agreement/compliance with all of the above rules at all times. Neutrality, Lukewarm Acceptance, or Qualified Agreement Is Not Good Enough. (Refer to Rule 2).
Damned if I do, damned if I don't.
Monday, May 23, 2011
Long time, no post....
I'm writing now because I finally had my first appointment with a doctor at the bariatric program. I weighed in at 355.48 or some fraction thereof, with a small amount of cheaty stuff in my pockets to fudge on the percentage loss they require before surgery (5% or between 17-18 pounds-- I probably only shaved off 3/4-1 pound of it with that stuff). They put me on a machine that calculated the weights of various body parts, but they did not give me the final tally of those weights, only percentages of those body parts that were fat and how much muscle I had and stuff like that. It was really interesting.
They also took my picture, the "before" part of the before and after shots they do. I must remember that I was wearing the blue tie dye DragonCon T-shirt (5x, with yellow decal) and the cargo pants pedal pusher jeans with the tie front, so that I can wear them again to see how they look in comparison. The t-shirt was tight on my stomach and the pants were not trying to fall down.
The machine they put me on said I needed to lose 140 pounds, which would not put me under 200, and that made me sad. The doctor, however, said I should tentatively target 160 pounds as a final weight, which is a loss of about 195 pounds. That's 10 pounds up from the Weight Watcher's estimate, which I thought was impossibly low given my large frame. It was also five pounds more than what the machine said was my current total lean weight. When I brought that discrepancy up, mom said I might lose muscle as part of the process.
I guess that's right, though too much muscle loss isn't desirable. At any rate, I know you'd need less to keep a 160 pound person going than you need to propel one who weighs nearly 356! Anyway, I'd just be happy to go under 200 pounds of weight, and that's a fact. Then I'd have the option to ride down into the Grand Canyon on a mule, even if I don't have the balls! I'll certainly have enough of them to do some of the other things I can't do now, like going to the beach when it's warm, or canoeing or hiking out to take pictures, and the suchlike....
The doctor said I would have to do the roux en y gastric bypass to get anywhere near 160 or even to go under 200. :( I don't like the thought of cutting out the lower half of my stomach, including the pyloric sphincter, but he was very emphatic about me needing to get down farther than the other one would go, and my insurance won't pay for the sleeve gastrectomy.
He was also emphatic about me needing a cholesterol test (shame on my current crappy doc for not having ordered me one already; the bariatric doctor was visibly appalled to hear that he hadn't-- which scared me into fearing that I might keel over and have a heart attack at any moment, without warning) and various other things. He said sleep apnea, which he thinks I have, might cause ankle swelling, which I tend to have lots of. He said I have to quit fast food and sodas and start exercising (a problem, given that damn hip) and try to get down to 2000 calories a day.
Other than that, most of my extra weight is in my "trunk," which I knew. I have the least amount of muscle there, too. I guess all the stair climbing at home and the chainmaille making have kept the arms and legs in some good amount of muscle.
Next up are a battery of blood tests (I've got to go in for those soon, bleah) and another doctor's appointment. Then apnea testing, psych testing, and various other things as the blood tests indicate.
Psychologically, this is all kind of nerve wracking, as my above-normal 151/99 BP at the appointment would indicate. I'm still extremely reluctant to actually have this surgery, especially as it'll be the roux en y; everything around it is intimidating, as is the life-long aspect, and I *hate* the notion of dumping syndrome, which is why I wanted sleeve gastrectomy, since you don't get dumping syndrome usually with that.
And other things come into it too... while I suppose they're saying the psych eval is more to determine I'm not clinically depressed or addicted to drugs, etc. I'm also afraid it will find something bad that bars me from the program. I mean, how much reluctance to have the surgery is too much? I don't want to have the surgery, but I do want the results.... go fig. At this point I have to keep remembering that if I don't get the surgery, I'm going to keel over and die soon. And I'll have low quality of life until I do.
I dunno. I'm very nervous about all these things, including some I suppose I shouldn't be worrying about. I keep thinking "this will be the last time I enjoy a big spread at Red Lobster. I won't be able to go pig out on sushi or Chinese if I ever make it to San Francisco." etc. And I keep thinking "I don't know HOW to be normal-- I don't know how to shop like a normal-weighted person, interact with men like a normal-weighted person...." it's something that makes me really fearful. Being fat is sometimes useful as a barrier between myself and things or people that frighten me.
And I know there are psychological reasons why I got this way. I don't know how they will be resolved. I don't know what will show up when the psych people go prying. I certainly don't have the money to indulge a lot more transfer addiction in the form of retail therapy. :P
This seems to be what I have to say today. More another time....
Saturday, April 9, 2011
Why bariatric surgery is so necessary
My hip gave out. Not my back, which it usually is; the joint of my left hip. First stiffness and weakness, then soreness, then a couple days' serious pain, spent in bed barely able to hobble to the bathroom on two canes, struggling with this aging, molasses-speed laptop to cover my classes while knowing my pay will be docked for sick leave for all these days in spite of me working like crazy to take care of the job. And also knowing I'm spending my "boss cred" on this when I didn't even dare take a day for a doctor's appointment-- because I know shit like this happens to me so often. One day I'm fine, and then boom, I'm writhing in pain and stuck in bed for some indefinite period, because my body's skeletal structure just can't handle the load.
It was really miserable this time. I haven't been able to lie on my right side for any duration for some time, because the wide point of my pelvis hurts so much from the pressure. Well, this time it was the left hip I hurt, and lying on it was making it get worse, so I had to lie on that right side, as the lesser of two evils. I could just picture the tissue there turning into a bruise of ketchup-like consistency as it throbbed. And the left throbbed, too, because I pushed through the stiffness all day Tuesday and then rushed it Wednesday night to make it to my once-a-week class. Ice and ibuprofen finally helped, and I can only hope it was enough by Monday.
And yeah, I'm whining, sure-- but I wanted to whine about this one appropriately so I could come back and look at it later, after I get on the liquid diet, and also after I've had the surgery and there's no going back, so I can remind myself about the dozens of times I've been stuck here like this, miserable and not able to do anything but wait the inflammation out and hope that it won't stick around long, and hope that the next time isn't coming soon. But I know it is, and it will be my back, or my knee, or my hip... and I won't fit in wheelchairs, and nobody can lift me to help me, and my body just keeps crushing its infrastructure more and more.
Anyway, maybe when I look at this and remember this, the diet and the surgery stuff won't seem so bad. Because if I don't lose the weight, I know that this ceiling is going to get more and more familiar the longer this goes on, until I have no job and no insurance and no hope of ever losing this damn weight, and there's nobody who can or will help me when I'm down like this.
Tuesday, April 5, 2011
Bariatric surgery: the humble beginnings.
How did I decide I wanted this surgery? It was actually a set of events that covered several years.
First off, my friend R. had roux en y gastric bypass. She talked about it a lot on her blog. It was a tough process for her, obviously, but she had good success with it. I have never had good success with any form of weight loss, so I was intrigued-- but the horror stories about surgeries gone bad were scary, and roux en y was pretty new, and I was leery. Still, it sat in the back of my mind.
Fast forward a couple of years, to the height of my association with Evil Ex Romantic Interest. From observing his patterns with other people close to him over several years, I knew my weight was likely the only "big thing" (bad joke, right) keeping him from trying out a relationship with me, and despite all that careful observation I had not yet allowed myself to realize what a disaster that kind of relationship with him would have been; I thought I had it in me to make ours end differently if he'd just give it a try. With this kind of faulty thinking buoying me to attempt desperate measures to get inside his britches, I formed the idea that I would go ahead and get the surgery if my current diet didn't work.
Within a couple of months, though, this fellow had changed from handsome prince to evil ex, and as a result of that and ongoing job/life woes, I went into a major clinical depression. Weight loss surgery got put on the back burner again, and I gained a LOT. :P Antidepressants will do that to ya. My pre-existing PCOS, hypothyroid, and fatty liver conditions will, too. Put them all together and you wind up with about three good-sized human beings walking around on one set of very unhappy feet.
After about two years of recovery from my severance of relations with the evil ex, I learned one of my friends, K., had undergone gastric sleeve surgery. She had really good results and recommended it highly; I could see how much better she felt-- and psychologically, too, not just physically. She was a different person, and a much happier one. Definitely food for thought, because frankly, from where I am now, I can see the end of the road coming fast, and it involves a lot of misery, culminating very prematurely in a size 4X coffin and some very unhappy pallbearers.
Then I came in to work one day and my co-worker M. was in the hall. I hadn't seen M. out from behind her desk for a long time and was flabbergasted to see only about 1/2 as much of her as I'd expected. "What are you doing? I need to be doing it too!" I said, and she referred me to the local city hospital's weight management center.
Thus started the long road I've only gone a few steps down, so far.
Right now I tend to think of bariatric surgery as a sort of "magic bullet." That's when a cop gets wounded in a way that puts him on easy street; he winds up not having to fight crime on the street anymore, and he can draw hefty disability payments and do more or less whatever he wants, if he's able-- but wow, there's a lot of serious nastiness you have to go through to get there, and a considerable amount of crap you endure as side effects for the rest of your life. So yeah. I know there's going to be a lot of unpleasantness, but when it all settles out, things will (I hope) be a hell of a lot nicer than they are now, in ways that really matter.
Next time: The First Meeting, plus Big Insurance Companies Are Heartless Bastards.
Bake sales and snow
It was golden when I woke up, with morning light pouring through my windows. But by the time I got out of the shower, there was only a thick mist of fine snow. There's still some snow, and you can see a fleeting glimpse of blue behind the clouds at times. Not much in the way of sun, though. It was 80 degrees yesterday, so this is a rude and unwelcome change for most. As for me, I wish it had been enough to close school because good GOD, I need a few days to catch up on grading.
Yes, I should be grading right now. And aren't you a keen observer of detail.
Maybe I'll babble enthusiastically about various types of crafting projects. Maybe I'll complain about the ridiculous amount of vocabulary associated with looms. Maybe I'll get myself in trouble on the job by wailing the agonized, wounded battle cries of an underpaid, overworked teacher whose students usually don't care enough and whose admins don't either. Maybe I'll agonize over impending bariatric surgery. I'll almost certainly swear a lot.
Lessons learned from LiveJournal would indicate that a blog isn't a really secure or reliable forum, but vanity insists flinging self to the four winds is desirable....
One good thing I've done already here is ditch yet another forgotten, long-abandoned association with The Evil Ex-Romantic Interest (who would hastily point out he was never a boyfriend and would even claim he never encouraged me, no matter how much he baited me by dangling implicit possibilities of his attentions in exchange for me working to promote his career). The blog I used to work on sometimes for him is no longer associated with this account. So if you happen to be here, watching me, as a remnant of a different time, one in which I was under the spell of a selfish and dishonest longhaired harper, you'd best defriend me now, because that association is no longer, and any possible future mentions of said harper will not be even slightly polite. So, no hard feelings, but if you're still wasting your time on him and you friended me because of him, don't let the door hit ya on your way to the defriend button.
I had a vague idea of posting something about spring and the way the flowers are already fading, or about how I've got to deal with an ill-conceived and vituperative student complaint today when I have less than no time and energy for it, but I've got to get to work and I've spent all my time already. C'est la vie!