Tuesday, April 23, 2013

Ask not what Jean can do for obesity...

…But what obesity can do for Jean?

The overeating I’ve devoted so much of my life to can be called a coping skill, and the excess fat it created cloaked me like shield, cushioning me from life’s blows even as it caused me a host of other problems including shame. I couldn’t admit to shame over what had happened to me (shame because I believed I had caused the abuse), so in effect I transferred that shame to my weight. As if there was a gremlin living inside me who insisted on hanging out a sign for all to see: IT’S ALL JEAN’S FAULT. If I couldn’t be angry at my family, I could be angry at myself.

At the same time, the act of overeating helped to keep me numb, so I didn’t have to feel deeply all of the stresses in my life. (I know I’m not alone in that one, because even people with a happy childhood turn to food for comfort and numbing.) If I’d been fully conscious of the all the distress in my life, what would my alternative have been? Probably suicide, either directly (via carbon monoxide) or indirectly (like a single-car crash or an “accidental” drug overdose).

Coping mechanisms help us adapt to stressful situation, reduce or eliminate a stressor, and/or change our own emotional reaction to a stressor. Not all coping mechanisms are negative (that is, harmful to us or the people around us). Proactive coping helps us reduce the stress of a difficult challenge by anticipating what it will be like and preparing for how we’re going to deal with it. Social coping helps us find support from others, and meaning-focused coping helps us focus on the meaning of and lessons learned from stressful situation.

Good nutrition, exercise and sleep all make it easier for us to cope with stress. And humor (a personal favorite) helps us turn around a painful experience.

Another benefit obesity has offered me is bariatric surgery, because taking such a “drastic” means of reducing my weight put overeating on the shelf long enough for me to get a clearer picture of my life, my problems, and what I need to do about all of that. It’s as if obesity was the slow train to clarity, delivering me to the weight loss surgery station with 90 pounds of baggage (to say nothing of the emotional baggage). And there, without a mountain of food before me every minute of every day, the coast was clear and my vision (internal and external) also became clear.

At the time, I didn’t know what I was getting myself into. When I promised my surgeon to exercise for 30 minutes every day, I thought it was just for the sake of burning calories. Little did I know that exercise would one day be at the top of my list of stress- and depression-reducers. I won’t claim that surgery erased all my bad habits, but for once in my life I was able to acknowledge that they were indeed bad, unhelpful habits, and then to work on ways to change them. This will sound oversimplified, but I can’t change a behavior until I understand that it’s not working for me any longer. It’s the time-honored first step of the 12-step tradition: first, I had to admit that I was powerless over food, and that my life had become unmanageable because of it.

If I had my life to do over again, would I again choose overeating and obesity as survival techniques? Of course not. But I think I’ve done enough self-blaming and punishment for my eating and obesity, and if I can gather together a few crumbs of knowledge and understand from my bad old fat days, all the better. I agree with Socrates than an unexamined life is not worth living. While it’s gratifying to see that my books and articles help (or at least amuse) other people, their greatest benefit is to me. Writing them is a form of the meaning-based coping skill that I mentioned above. Meaningless events are frightening to me. Reflecting on my experiences and deriving some meaning and purpose from them reduces their power to hurt me. Although I joke that I’m the World’s Greatest Living Expert on Everything (a title I inherited from its originator, my mom), when I write articles like this one, I’m learning as I go along. That’s a life-affirming action for me. When I run out of things to learn, it’ll be time for me to rest forever.

I’ve been sniveling a lot in the past 6 months because my life with the sleeve has been full of surprises, many of them unpleasant. One of the things that’s making it possible for me to keep putting one foot ahead of the other, painful as that might be, is my belief that there are some lessons for me to learn from this experience. And like many life lessons, I may not get the punch line until the end. Better late than never.

Sunday, April 14, 2013

It does get better

My friend VA, who had band with plication surgery in June 2012 and has lost 113 lbs so far, gave me permission to share her Before and Now pix, and a great blog entry she wrote a few days ago.

It is hard to really make someone who hasn’t been there yet believe that is does get better.

Most people get to the first few days, think it is too hard and therefore they are doing it wrong and just give up. Well, it IS hard. Sorry, I know that is not the answer you want, but it is the truth.

You just have to remind yourself that the habits you are trying to break are ones that you have had for years – do you really expect to break them overnight and for it to be a piece of pecan pie?

I can tell you though that it is so, so worth it. Once you get past those first few weeks and you are feeling amazing and loving the changes your body is going through, you will look back and thank yourself for pushing forward.

You just need to start. Set small and realistic goals and make one change at a time.

The main reason you should be doing this is for yourself and for your health. There are going to be negative people no matter what you do.  Well sadly you can’t stop them having that opinion, but who cares what anyone thinks.

Make the right decision for you and I wish you all the luck.

The first line of this entry is very powerful: It is hard to really make someone who hasn't been there yet believe that it does get better.

It's also hard to make others understand that weight loss requires hard work (with or without surgery), but that all that hard work is so worth it. VA's Before and Now pix will give you visual evidence of that. The change in her physical size is amazing, but even more amazing is the avalanche of changes going on inside this wonderful person. You're right, VA, it is so worth it.