Wednesday, August 31, 2011

Eating to Live Vs. Living to Eat...



It's no big secret that I've had an unhealthy relationship with food most of my life.  Food was the friend when I was lonely.  Food never disapproved of me or made fun.  Food was sometimes in abundance and at other times scarce, but always it was available in some form.  Food couldn't abandon me.  It provided comfort and solace.  It accompanied me on the long bus ride home each day, or while I read before dinner. While it appeared to be my best friend, it was slowly killing me.  

On my best days I am mindful of what I put in my body and I try to remind myself that food is fuel.  On my worst days, I fall back into old patterns where my mood plummets even lower if something comforting (ie, carb-filled) isn't available.  Even Kyle can tell when chocolate is essential for the well-being of the household.  


In all honesty, I hate food. I hate my relationship with food.  I hate how I am controlled by cravings and how many times I've deemed myself worthless based on the reading on the scale.  Unlike so many bad habits that can be eliminated entirely from one's life if one abuses them, food cannot.  Unfortunately, a food addict must eat, whereas an alcoholic is not reliant on alcohol for sustenance.  When I write out my weekly menu plan, I wish I just never had to eat again. I wish there I could take a magical tablet along with my vitamins each day that would provide all the nutrition I need.  

When I had my gastric bypass three years ago, I was very excited at the prospect of getting to a more normal weight.  I was pre-diabetic, had high blood pressure, constant acid reflux and was in poor physical condition.  I had absolutely no idea how very hard those first few weeks on a liquid diet would be.  The difficulty was compounded by the fact that it was the Christmas season and an abundance of food commercials and parties with sugary treats were at every turn.  A liquid diet, followed by a pureed diet is all very bleak in the shadow of Christmas dinner Prime Rib.  Time passed, though, and the scale showed quick transformation, even when I could not see it. 


It takes the mind a lot longer to catch up with the weight loss.  I still don't see it sometimes.  I was almost 300 pounds when I had surgery.  I couldn't sit in a booth at some restaurants without the table digging into my stomach.  I couldn't fit in some bathroom stalls.  I dreaded flying, feeling deep embarrassment at the extra space my body would take up, crowding out the persons next to me.  I can't count the number of dressing rooms I cried in and the deep shame I felt when I had to shop in the men's section of the store to find a shirt that fit.  

Now 100 pounds lighter, I am thankful on a daily basis that my life is much improved from what it was when I was "morbidly obese".  Ouch.  Just typing those words hurts.  When I see my reflection in the mirror, I often have to look twice.  Is it really me?  I touch my collarbone as if to make sure it's still there.  The collarbone was, to me, the very image of femininity.  I couldn't see it before surgery.  Now I get such contentment at the sight of my necklace chain resting on it.  I can't get used to shopping in the Misses section rather than the Women's or Plus sized sections.  Unfathomably, a pair of Juniors jeans fit quite nicely the other day.  I look at them and hold them up, trying to discern whether they will fit, but again, my mind hasn't quite figured out what size I am, so it's a great deal of trial and error.  

The list of positives that comes with losing 100 pounds is quite long.  The way that size 10-12 feels compared to 24-26 or 3x is indescribable.  And yet, none of those wonderful feelings are enough to keep me away from the sugars and carbs.  This is how I know that food addiction is a reality.  So many times I've heard "Nothing tastes as good as thin feels".  If this were true, no one who has a sweet tooth would be overweight.  The amazing way that I feel about weighing what I do now, while incredible, is not enough to keep me from making poor decisions when it comes to food.  It's not enough to get me to the gym daily. It's not enough to keep sugar out of my kitchen.  


Food is still a very present issue in my life.  Certain events are tied to food - especially holidays.  Certain excursions are tied to food.  I will attend the Colorado Rockies game next month, and I will enjoy baseball.  But I will also enjoy some treats that are only found at the game - a hot dog, a lemonade, or perhaps some cotton candy.  I will see someone guzzling beer and eating nachos dripping in cheese, and I will instantly think of a savory soft pretzel.


Many bypass patients gain back all or more of their excess weight. Food will be an issue for me for the rest of my life.   On a daily basis I will battle cravings.  What I know intellectually to be right will spar with what I want in the moment.  I will refrain from bad choices some days, and I will give into them on others.  I will have to make conscious decisions about whether I choose to eat to live or whether I live to eat.  

Sometimes I can make the right decision for this moment only.  It will be one moment at a time, instead of one day at a time.  I will hear myself say, "Just get through this moment without overeating.  You can make it through this moment."  And I can!  Like most of the things I've set my mind to over the years, I can do this.  The difference this time is that it really is life or death, and it really is a matter of me choosing ME and my health over the taste of that chocolate.  I am the only one who can decide whether my worth is more than a bar of chocolate or a bowl of crackers.  And I'm thinking I just might be.  

Wednesday, August 24, 2011

Cutting Bait...When To Do It...

At some point in our lives, most of us have to determine whether or not to keep certain people in our lives.  Sometimes it is not for lack of love or care for them; rather, it is for self preservation and our own general well-being.  I have been struggling with this in my life lately.  I am so unsure what to do, though logically I know what is best.  

I've been learning a great deal about myself lately.  I realize how much I have people-pleased my way through life, hoping that if I can do enough for others, that they will like me in return.  Having, in my belief, not enough redeeming qualities to be loved just for me, I had to perform my way into people's hearts.  

It's all very exhausting. 

A wise friend recently told me, "It's time you started taking care of you, first."  What a concept!  I'd heard it before, but this time it really stuck, perhaps because I've reached a point where I'm just too darn worn out to be the person I used to be.  I don't have the mental or physical energy to be the friend that is always there for every little emergency.  And what's worse, I rarely get the same level of care and concern in return.  

Not that I am keeping some tally record of the great things I've done for others vs. what they do for me.  It's just that it gets to a point where I grow resentful for giving so much and getting so little.  Yet, whose fault is it?  I'm the one over-committing, overdoing and saying "I'm fine!" when I really would just like a hug.  I, of course, would prefer the people in my life have some psychic ability to know exactly what I need when I need it without me asking.

All those random thoughts aside, I have been struggling in a friendship lately.  For three years we have been super close friends.  I have been there for her for many ups and downs, some rather serious, in the past year especially.  Our lives just appear to be on different paths at this point, and although I still love her dearly, I'm not sure how good it is for me to be around her.  Constant drama and stress in her life affects mine, and I'm in a place where I have resolved to create as much peace in my life as possible.  I want positivity in my life.  It seems I can't maintain the friendship at the level it has functioned AND have a fully peaceful existence.  So I have to decide how much my relationship must change, or whether I am going to give up a certain amount of peace.  It's a tough call, and while I know I should focus on what's best for me, it's hard not to think about how it will affect her.  For the time being, I am journaling about it and hoping that through reflection the right choice will present itself. 

Sunday, August 21, 2011

Better Living (or not) Through Chemistry...

I wrote last time about the love hate relationship I have had with my meds.  After a very rocky four weeks on Abilify, I am here to testify that meds can be as unhelpful as they are life-saving.  The list of potential side effects of psychiatric medications goes on for pages like the side effects of most medications.  It comes down to what side effects we are willing to put up for the benefits.  It's a tough call sometimes.  Should I choose my sanity and put up with x, y and z, or should I try a different medication and wait six weeks to see if it's effective and which side effects it will bring? 

Abilify made me manic, gave me a lovely rash on my face, and caused serious discomfort with my urinary tract. (Sorry for too much information, but I try to be honest about living with a mood disorder and all it entails).  I weaned myself off of it (I don't recommend doing this!!!) when my doctor failed to return my calls.
I'll be honest and say that the last few days of being on this medication were frightening.  My mind raced out of control with a zillion thoughts.  I went without sleep from Saturday morning until Tuesday night.  I wanted to spend money.  I had no appetite.  I cannot describe the way these elements combine to create the perfect storm inside  my head.  I was beside myself not knowing what to do.  Especially when calls to my doctor went unreturned.  Time for another doctor, perhaps, but that's another post. 

The past two days I've been much better.  I have a sense of peace and well-being that I hadn't realized was far gone once I started the Abilify.  It continually surprises me to see how different people react to different meds. Some people thrive on Abilify.  Some people thrive on Lamictal.  For me, these "mood stabilizers" have the opposite effect and send me into a manic episode.

The other strange part is that my episodes are mixed, meaning I have lots of great ideas and racing thoughts and sleeplessness that is typical of charged manic episodes, but I also get the achingly deep depression at the same time.  It's such a paradox, being high and low all at once.  I felt I was coming apart at the seams.  Yet, a few days later and I am back to my normal self. 

It's a frustrating process finding meds that work for me, but I am also very grateful for the meds that I take that keep me stable - even if I don't especially like to take them.