Healthy Living

Wednesday, November 25, 2009

Body of Work: I got weight-loss surgery but you shouldn't

A very best friend of mine was recently diagnosed by her doctor as being fat. She had gone in for a pain in her hip and came out with an order to go on the South Beach Diet and lose 6 pounds this month. It sounded to me exactly like bullsh*t, exactly like what you hear doctors doing all the time, being blinded by their patient's weight and assuming that all their problems, every one of them from the mental to the physical, all trace directly back to their weight. And it made me angry to hear how upset she was, on the phone. How she felt unwieldy, unlovely, unlovable.

She told me how much she weighed, now, and then she stopped, and she asked me, "How much did you weigh? At your heaviest."

"318 pounds," I told her, and then blurted, "You're not thinking about weight-loss surgery, are you?"

"So?" she said. "You did it. Look how it turned out for you."

"You can't," I told her. And that was the start of a fight in which I could not articulate why, exactly, it was okay for me to have gotten weight-loss surgery, to have assessed the possible complications and gone ahead and risked my life on an operating table anyway. Just as an adult of voting age should be permitted and in fact encouraged to do: consider all her options and make the decision that best works for and best pleases her. But no, I said, no you can't, you are not permitted to do this, it is too dangerous, I said. And then, I said, you're doing it for the wrong reasons, and that is where it all went to heck.

Gastric-bypass surgery may not be the weight-loss miracle you think it is.

Because she knows me. And she's always known that despite how I have talked about my health and my holy and noble intentions and how carefully I considered my decision to have weight-loss surgery and how long it took me to decide to go through with it, that I had, in truth, had my mind made up from the moment I saw a Before and After picture. That I equated happiness with thinness and weight-loss surgery--which made you thin in the blink of an eye--looked like a miracle to me. I say I did it for my health, but that is a lie. I did it to be thin, because I was unhappy as a fat girl. And that is what I risked my life for.

I knew it all along, and I knew it going into surgery. At my last doctor's appointment before being operated on, I cried in his office. "I'm afraid," I said. "I might die because I am selfish. It's selfish to want to be skinny and to do something dangerous and what if I die because I'm selfish?" (Read about Anne's recent trip to the hospital due to WLS complications.)

He ignored that. He told me I didn't have to do it, and it was never too late to back out. Obviously, I did it anyway.

Who are you to tell me what the right reasons are, my friend said. She didn't say: Who are you to tell me that I should try to be happy with myself? Who are you to sit there, all f*cking skinny, and tell me I should just learn to love my body? Who are you to tell me that surgery is not worth it? But she should have. Because really, who am I to say? Where do I get off? Why can't she make her own hasty, emotional decision and then reap the myriad and great rewards of not being obese in this f*cked-up culture, and deal with the drawbacks and the complications her own way? Why shouldn't she be allowed to risk her life in order to change her life for what she thinks is the better? Haven't I said all along that despite everything, this is the better side to be on?

I am being selfish again. I've said it before: I don't want to be the poster child for weight-loss surgery success, because I am hardly a success. I am as screwed up as I ever was, in the head and about food. The difference is that I fit into smaller pants. But I remember what an incredible, spectacular, I will say it again, miracle of a difference it makes even as it makes me angry that it has to be so, that that is the way it is. That is the way it is for my friend. (Let's admit that there are some magical rewards of WLS and being skinny.)

I apologized to her, and she apologized to me, and I don't know what she is going to do; South Beach or bypass, and I don't think I can ask, anymore. The idea of someone I love lying unconscious on an operating table for reasons that--suddenly, so very hypocritically--seem so petty scares the sh*t out of me, but who am I to say so?

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Comments 1-10 of 58
  • Chrystani's Avatar
    Posted by Chrystani Thu Dec 4, 2008 12:44pm PST

    Hmm. I agree with you when you say that doctors use being over weight as a blanket excuse. They said the same thing about me not having my period for 3 months. About three x rays later it turns out I had a ovarian cyst...

    But uhh.. I do feel like your friend. I mean it is a hypocrite thing to say, but you apologized, and its her desicion in the end.

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  • Rowdygirl's Avatar
    Posted by Rowdygirl Thu Dec 4, 2008 1:38pm PST

    I know what you mean about the surgery.. but I would tell anyone who had done their research and was doing it for the right reasons, to go ahead. I'm like you.. it didn't fix my issues either, and I didn't lose enough to be "skinny".. now I'm average (size 12-14).. but I'm healthy and I'll always be grateful for that and would do it again in a minute. I also had complications afterwards: a bowel obstruction surgery 16 months later. Still would do it again.

    I looked at it this way: I was already at death's door with my weight. If the surgery pushed the door open, so be it. :)

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  • Kate's Avatar
    Posted by Kate Fri Dec 5, 2008 2:39am PST

    You're definitely being hypocritical...because you're playing monday morning quarter back here..

    It's the same as Cameron Diaz, who talked down about plastic surgery a few years ago...she's already considered pretty so it would not be of benefit to her any more than have surgery would be beneficial to you.

    People have hope, and with research and resources, the surgery can be a great way for life to change. I'm not saying that it's a magical fix. Some people seem to love to eat regardless, but if your mind is in the right mindset while your body is lagging behind then it might be the best thing you've ever done.

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  • Kate's Avatar
    Posted by Kate Fri Dec 5, 2008 2:42am PST

    And your friend gets to make the decision..You're not an authority on what's best for her life just because you've done something similar...

    Even if the peer pressure if coming from a good place in your head, it's still totally wrong..and selfish of you to begrudge her of something that could help her in ways it has or has not helped you.

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  • KristaB's Avatar
    Posted by KristaB Fri Dec 5, 2008 6:12am PST

    ...we tend to make decisions about our own lives that can have potential dangers because we think know what we can handle and to a degree we can sometimes feel that we are exempt from the possibility of danger...a feeling of invincibility...but when a loved one puts themselves in the way of danger we have the innate urge to protect them...did your friends try to talk you out of the surgery...while what you said was hypocritical your actions were purely human...im glad you two could come to a resolution...:)

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  • ~*HOLZ*~'s Avatar
    Posted by ~*HOLZ*~ Fri Dec 5, 2008 7:48am PST

    I think that since you've been through it and experienced it you have a right to tell her how it is and that she shouldn't get it done.

    But weight loss surgery is a MAJOR decision and she needs to actually take time and not want to do it just because you told her not to.

    Yes it may help you lose weight. But My cousin got the surgery and she doesn't stick to her diet so she isn't really loosing as much weight as she could because she isn't working out or watching what she eats.

    It's not just a one day decision. It's a complete life change.

    Maybe she should try diet and exercise first?

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  • Laura O's Avatar
    Posted by Laura O Tue Dec 9, 2008 6:32am PST

    I did some research on WLS as part of an 8 week health journalism course, and interviewed several patients and doctors, by way of which I learned about many of the drawbacks. So when Agnes speaks of "drawbacks", I feel I already know what she means. But does the audience at large? Where in this piece, is any explanation, even briefly, of these drawbacks she is talking about? It's great that this piece speaks of the emotions of a post-op patient, but I don't see where this piece truly serves as a warning to others to reconsider surgery. At least change the title of the piece, because that's where you are lead to believe you'll learn WHY the writer says "Don't do it, even though I did."

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  • c james.'s Avatar
    Posted by c james. Tue Dec 9, 2008 6:46am PST

    A friend of mine had gastric bypass surgury. It's not a quick fix by any means. And after her surgery, she said she would have rather been it by a truck, than go through that again. Now, she has to be even more attentive to what she eats, because she has less stomach space to work with, so her food selections must be absolutely wholesome and healthy, or she risks getting sick.

    And speaking of weight, read about Oprah's current weight issues at: http://raverantrage.blogspot.com/2008/12/oprah-admits-she-weighs-200-pounds.html

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  • Mmgirl's Avatar
    Posted by Mmgirl Tue Dec 9, 2008 7:08am PST

    We all want a quick fix but that just doesn't happen. The surgery makes your stomach smaller. What does that mean? It means someone else is forcing you to portion control your meals. Wow what a concept! It all boils down to food issues and sugery does not fix those.

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  • springtime's Avatar
    Posted by springtime Tue Dec 9, 2008 7:29am PST

    It's so human nature to share our experiences ... both positive and negative... with people we care about. Heck, we do that with people we do not care about. Your friend has wrapped her head around a serious idea that could affect the rest of her life. But you have also given her points to ponder. This is what friends do.

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