Saturday, October 31, 2009

When Bad Things Happen To Good People

I logged into my account this afternoon and found a disturbing post from my loyal reader, Lee. He, too, has been going through a weight loss surgery journey and blogging about it. I don't really know him personally, only through his blog posts and messages here, so I can't speak for him (just what he has already shared in messages and posts, if I may be allowed to do so).

On his blog he posted that his wife has breast cancer and because of various complications may not survive this time around. They have time to live together and celebrate their lives for awhile, but I imagine it is still hard news to bear.

I have wondered about my death. Like Lee I pretty much accepted that my obesity was a death sentence. I enjoyed my eating habits, and since weight and lifestyle takes months or years to change rather than a day or two it seemed as if losing weight was out of reach.

I basically accepted I was going to die early. In some ways I almost looked forward to it; no more aches and pains, the potential insurance payout could help my wife and kids get out of debt a bit more, no more dealing with the stress of my day job and waking to the dread that I would never find a better source of job satisfaction; all I hoped for was that it would be quick and relatively painless.

But I eventually took the steps to get the surgery and added some hope that I might see my young son grow up and maybe even grow a little older. I temper this with the realization that I could be killed in a car accident or some other freak incident as happens to hundreds or thousands of people every day.

Lee found the surgery and then changed his view to accept that maybe he, too, would buy more years with his wife and children and grandkids. And so you can imagine the irony of me finding his news posted today on the eve of my own birthday that I didn't know I would see.

I don't know what to say to him, really. Because of my Asperger self I am afraid to say much because I'll probably say the wrong things so normally I don't say anything. Better to be seen as an unfeeling jerk than a cruel moron incapable of relating the way other people normally do. After a lot of thinking I posted a comment to him for moderation; I hope that since he's followed so many of my own posts he'll understand what I mean, even if I'm not the best at conveying my thoughts on emotional topics.

It led me to thinking about the question of what would happen if you knew you were going to die in a certain span of time? I really liked the movie Krull; it had a character that was a Cyclops, and in the realm of that movie the Cyclopian race was cursed with seeing the when and where they would die, so they knew how long they had to live.

I know at the rational level that I could die at any time. A family friend just had an aneurysm but looks like he'll survive. I had an uncle that survived as half the man he used to be for several years after a stroke. I had a roommate that killed himself in college. The loss of weight doesn't mean I'm home free of strokes and heart attacks, and of course there is a possibility of fire or car accident killing me as well. Unpleasant, but those are the facts. I actually had a fixation on the thought that after my six month or twelve month followup to the surgery I'd be given a "green flag" that all was going well with no complications only to be in a pileup on the way home.

So would one rather know when they were going to die, or that they had a certain time to live? We have our mortality looming over us every day, and unlike the Cyclops we don't have any certainty when our lottery numbers will be drawn. Every day is an opportunity to spend living or dying. Most of us get so caught up in our constant routines of life that we get into a rut and don't give it a second thought. Some people get hit with the news that they will soon pass away and they suddenly find a new meaning to their lives, like the inspirational story of cancer victim Randy Pausch who ended up unintentionally becoming an motivational hit with his Last Lecture (which I highly recommend watching on YouTube and reading the resulting book).


I suppose the question is, what would you do? Would you want to know when you're going to die, or remain ignorant of it? Would you rather believe that you make your own fate every day, or know when it's time to buckle down and make the most of your days as the time draws near? So many people face this question every day in oncology departments in hospitals that it's become an invisible question for those who aren't directly affected by these issues.

My best wishes go to Lee with this challenge in his life. I hope anyone else that stumbles on my little corner of the blogosphere could also take a few moments to share their wishes with Lee as well, since he and his wife will no doubt look forward to some good wishes from others as well.

Friday, October 30, 2009

Fattism in America?

I just ran across this UK article about abuse of fat people. The article makes it sound as if there's a rash of beatings for being overweight across the pond, but overall is focusing on the question of why society seems to pile so much hate on people who are overweight.

Personally I've not encountered more than just the looks and stares and the occasional comment here in the US for being fat. Strangely enough most of that I remember occurred as an adult rather than my teenage years (you'd think it would be the opposite, wouldn't you?)

There is definitely discrimination against fat people; we are, along with smokers, one of the last of the "socially acceptable to make fun of" classifications of people. But outright beatings?

That's a little scary. Maybe the story was just focusing on isolated events rather than a rash of hate crimes. I certainly hope so. Has any reader found there to be outright discrimination against fat people in the US?

Thursday, October 29, 2009

Loose Skin

Some of this may not be pleasant. If the show Dirty Jobs makes you squirm, you might want to skip this entry.

Here's something that doesn't seem to occur to a lot of people in regards to dieting. That something is loose skin.

Um...the title of the post probably gave it away, didn't it?

I'm perpetually mystified by the number of people that crawl from the shadows saying they had the surgery (or more often, their sister/cousin/in-law/mother/aunt/friend had the surgery). It seemed that half the ward I was recovering in when I had the surgery were post-ops.

And when I hear that people who want to have the surgery are sometimes 50 pounds overweight...that's all? Really?

I started out at around 458 pounds. On my last weigh-in on 10/9/2009 I had lost 190 pounds. That's going from "super obese" to just "obese".

But one of the newer demons someone in that position has to confront is loose skin. People losing twenty pounds got nothing on me. Taking dramatic measures to lose the equivalent of a large bag of dog food? Why?

What I have isn't just the wobble under the arms that you find some older people tend to develop, or the small flap under the arms from moderate weight loss. Not just stretch marks on the sides, or the slight bit hanging from an oversized panniculus from, say, childbirth.

Losing the weight that I've recorded means that under my arms aren't just hanging loose skin but rather wings. See this? I can do that without the suit. Just me in freefall with the arm flab flapping in the wind. Not that I've actually tried it. That would be crazy.

The panniculus...an apron of fat hanging off the stomach post weight loss...is a constant reminder of my dietary mistakes. It's big. Like you can take handfuls of it and not find any muscle definition. I don't wear button-up shirts because it's awkward to tuck the shirt into my pants over this thing. It gets rashes. It has a life of it's own.

I am a bassett hound. Ever see one of them? When I turn around, I stop and two seconds later the rest of me stops. I swim in skin. If I get into a pool I wouldn't be able to dive below the surface because of the bouancy of the excess skin. On the plus side, I could probably survive most body shots from a small caliber weapon.

These are just some of the thoughts that pass through my mind when getting dressed in the morning. I avoid looking in the mirror for fear of seeing more than I have to.

It. Sucks.

There's surgery available. There's a couple things working against me, though. One, it's classified as a cosmetic surgery. It's for looks, not necessarily health reasons.

Two, insurance companies are evil.

Three, I'm told I can't even consider the surgery until I'm at least a year out from the surgery.

Four, I don't know when or if I'd have the sizeable copay that my current insurance company supposedly would charge for the surgery if they were to decide I could get it in the first place. Remember point number two.

It's tough. I know I did this to myself. It's my fault. And I have a constant reminder of my misdeeds. Every time I pass a mirror, every time I tug my sleeves down to hide the stretched flesh, every time I press on my skin and see my fingers sink and sink into the surface. And it's extremely depressing.

I sometimes wonder how much this excess skin weighs, and wonder if the surgical removal of the skin would see another five, ten...twenty pounds?

If anyone tells you that the skin is flexible and will heal, they're not dealing with this kind of weight loss. I already had one plastic surgeon tell me that there's no way the skin would ever "heal". Skin has a certain amount of resiliency, but nothing like what I'd be asking it to heal from in this case. The connective tissue has been ripped to shreds.

"Exercise! Build up some muscle to fill that space!"

I have been exercising. First, the amount of skin to fill would mean I'd have to become a professional bodybuilder. That would be excessively difficult given my new digestive challenges and the fact that a pro body builder consumes something on the order of 4,000 calories a day. Plus there is a significant genetic factor to how much muscle you can build up.

Also muscle is more dense than fat (the claim that muscle is heavier than fat is bull. A pound of feathers and a pound of sand are both a pound...) so it would take a lot more muscle than fat to fill the skin.

In other words exercise isn't the key to helping this flab.

Right now it looks like I'm stuck with this current...look. I'm stuck with the daily reminder and the pained wince when I glimpse myself in the mirror.

It's another thing to cope with, I suppose.

Wednesday, October 28, 2009

Changes to the Blog

You may have noticed some changes on the blog recently. I've decided to take my wife's advice and listen to one of the little voices in my head to create a more focused blog.

What does that mean?

It means a few things.

One, the Barry Atric blog is now going to focus on what the title says. Weight loss, diet, food, medicine, bariatric surgery and my personal updates on my progress from the surgery. Most of the entries that are not related to those items, directly or tangentally, have been removed.

Two, there are now four blogs. Click on my profile for links to the new ones, but now there is the Barry Atric blog,  New Author Chronicles detailing my attempt to become a published author, I Think Users Must Hate Me detailing my trials and tribulations dealing with technology in society and my job, and A Teaspoon of Skepticism and a Cup of Reason, a blog about...well... skepticism and reason.

Three, my schedule is changing. I used to try having at least one new blog post in the morning on my blog. I was proud that every day I had something in the feed ready for people if they wanted to follow my witty online banter. No more, I'm afraid. I still am trying to keep things updated, but there's no way I can keep a journal, work on a manuscript, work a day job and keep four blogs updated every day. Instead I'm posting things as they occur to me in the appropriate blog. That means that maybe the New Author Chronicles will fill three days in a row with material (maybe more now that NaNoWriMo is here!) while it may take a week to get something new in the Teaspoon blog. It's okay. I'll do my best to keep material going and not neglect the blogotubes.

If you're interested in all my topics, please do subscribe and link to each of the blogs! Please! If only one, feel free to link to and spread the word about that one blog. I'd appreciate it!

Four, I'm still working on cleaning up the blogs. The Barry Atric blog is getting stories flushed out that don't belong (most migrated to the other blogs) while simultaneously having the links on the side moved, and the other blogs are getting some additional of-interest blogs linked to them (for example, moving Phil Plait's Bad Astronomer blog to the Teaspoon blog rather than here). It's going to take time, but it's getting there.

What this all means is that I'm conducting an experiment on whether a focused blog will garner more attention on the webbertubes, maybe a little more love from from the Googlesphere. If you were just interested in medical/food/WLS information, you won't come here seeing my rants against organized religion, and vice-versa. If you liked my style, or what I had to say, or were at all interested in my opinions, you can still aggregate everything by subscribing to all the feeds and following in your favorite reader.

Hopefully I'll see some significant difference in using this format in the coming months!

Weigh-In Progress: 10/28/09

My birthday will be coming up soon and I've hit another low in the downward trend of weight loss, and I thought I'd share again since it's been nearly a month (I think) since I shared progress.

To recap, I started losing weight in January to prepare for the surgery (how many times have I mentioned that as silly as it seems, you have to lose weight before having weight loss surgery?)

I started tracking on January 5th, 2009. I was 458 pounds. The doctor told me I needed to be closer to 400 pounds due to insurance issues with the hospital...basically, the equipment wasn't rated for someone in the over 450 range and if something happened and went boom while they knew I was over the weight range then...well, they weren't operating. They would send me to another facility a few hours away to do it instead.

So I started working on the weight loss thing as a New Year's resolution and had the surgery on April 7th of 2009.

That brings me to today. I am currently 262.5 pounds, I've lost 195.5 pounds since dieting in January and 113.5 pounds since the surgery in April. According to FitDay, that puts my BMI at 36.61 and (according to that site) a BMI of 30 to 40 is classified as "Obese", so I'm still on the high side of the obesity classification.

My birthday is coming up this weekend. My hope is to hit a magic "200 pounds lost" before then. It's a nice, round number, and just "feels right". Next weigh-in is Friday! Here's crossing some fingers...

Tuesday, October 27, 2009

Current Diet

Sometimes people ask how I'm losing weight and now, unless they specify that they know about the surgery, I just tell them that I'm eating less. Which is true. I just had someone today ask me about this in a tangent manner...basically, "Are you dieting or did you have the surgery? My cousing had the surgery..." and she kept describing from there.

I said, "I had the bariatric surgery, but really it's just eating less." It's true. The surgery is a jump-start tool to kick you in the ass in getting a healthier lifestyle. What you do with it after that is up to you. I could snog down most things that are unhealthy as long as I do it in small doses and my waistline would reflect that. Eventually. There's a lot of skin there...but that's another topic.

It sounds like my loyal public follower on the blog, Lee (Hi Lee!) primarily eats a chile recipe he cooked up and occasionally modifies. From the sounds of his blog, that's his primary food source. He makes it in batches then eats that until it's time for another batch. I don't know how much variation he gets.

Eating a non-variety of foods for meals is generally deemed counter-productive. I don't know the entire reasoning off the top of my head, but maybe due partially to my wiring I don't mind repetition as much as most other people apparently do. Like Lee (unless I'm mistaken about his habits), I tend to stick to one thing with only a little variation.

I take an azteca tortilla wrap and then warm up a thin slice of turkey and ham with one or two slices of cheese (normally low fat 2% cheese), put those on top, then fill with sliced green giant mushrooms and some tomato sauce (Ragu chunky style is pretty good), salsa, or mustard. Roll it and microwave again then put them in the fridge for the following day.

I think of them as food pellets. Not too messy. Convenient. As they cool, moisture from the heated mushrooms and meat soften the tortilla then it all re-solidifies into a soft bready pocket. of tasty yum. I can easily carry it with me in a cooler to work.

Sometimes I get a Panera sandwich. I eat half of the smokehouse turkey, and the other half becomes my next meal.

I do snack to tide me over sometimes. Not constantly (at least I hope it doesn't come to that! I follow my weight progress quite diligently...) but I have mixed nuts, peanuts (no honey roasted! I love them, but it turns out that the honey roasted have something in the mix...um, probably sugar...that gives me intestinal issues. Not going to do that again.) peanut butter with the nuts sometimes and broccoli. Sometimes I put mustard or salsa on the broccoli.

No, I don't have them all at the same time. That would be weird.

There you have it. That's my primary meal source. Protein, some fat, little thin carb. To drink? Water. No tea. No coffee. Never drank coffee. Soda was forbidden (really miffed that I can't try the soda coming out now with real sugar in it instead of the fake stuff!).

I could, and have, eaten at "real" restaurants although normally I carry my pellets in. I really liked Red Lobster but with money being tight lately and given that we normally have a four year old Little Dude in tow we haven't gone anywhere more extravagant than Panera. If you haven't had a four year old crying out that he wants a burgercheese from McDonalds in the middle of Red Lobster you're missing out.

It's not the same anymore, of course, since I avoid anything more than a bite of something fried or battered. One bite because anything more risks pains or ...something unpleasant later. I don't know if it was the surgery or just being more aware of my digestion and body, but sometimes even if I don't become sick I will feel just blah when I tempt the fates.

Instead I have to have broiled or grilled food like the scallops or the stuffed flounder. I just eat a little and pack the rest in a carry container.

It's really hard though. I don't think people can quite guess how hard it is if they don't have dietary concerns themselves; I went to a very fancy place for my anniversary, a haunted castle-turned-restaurant. It was beautiful and the food was magnificent. I had this brandy-cherry-grilled chicken entree (don't see it on the current menu) with a bed of pilaf thinking that the alcohol would be mostly cooked off. Indeed, didn't taste alcohol. But something in it didn't agree. About ten minutes after eating I had pains. I ended up getting up and walking it off. Delicious, but dangerous.

So you can tell that trying new things is a risky venture for me now. Before I could have scarfed the whole thing and had dessert, maybe even taken something extra home. Here I ate half and was walking for ten or fifteen minutes. At least I got a little exercise. It was worth it in the end, though (definitely recommend you check this place out if you're ever in the area).

So that's my current diet situation. It's not too bad. But it fits me, and it suits me for now. Other people may not be able to stand it. If you're looking to lose weight, it's a matter of calories in and calories out. My diet is probably in the 1200 to 1400 calorie range, once you factor in nuts and broccoli and I'm thinking my wraps are about 300 calories each, plus or minus. When I was overweight I'm estimating my caloric intake was easily triple that, and some days maybe even four times that amount which is roughly what a bodybuilder eats.

The surgery gave me tools and a free pass to allow myself to cut back. I don't avoid cakes and cookies because they're bad for me. I avoid them because I don't want to get sick. I don't indulge in sodium and calorie rich restaurant food because of chemicals or health, I avoid it because I don't want to get sick and I don't want the anxiety of breaking routine and wondering if I'm going to balloon up from eating a "proper" portion size that was still laden with excess calories. I am far more reluctant at this point to slide down the slippery slope of "just one more Oreo". I really miss Oreos. But hey...Oreo or stomach pains? I'll take a handful of peanuts instead, thanks.

Technically you don't need the surgery to do this. I lost something near 70 pounds before the surgery in three and a half months or so by diet alone. The surgery just helped give me a lifelong additional reason to avoid cake and ice cream. If you figure out your calorie intake and expenditure and keep to that budget, couple it with a change in dietary lifestyle, you can lose weight too if that's what you want to do. But it's up to you.

If you need the additional crutch like I did then surgery may fit the bill. Otherwise focus on your lifestyle, not your diet. I'm convinced it's our lifestyle that kills us. And cell death over time. They both kind of factor in.

Monday, October 26, 2009

Creating a Blog with Focus

The Creative Penn on Twitter posted a link to a site that had some interesting information on it. The article is found at Penelope Trunk's blog and the article is called, "Blogs without topics are a waste of time." You can read it here. I'd first recommend reading that site to form your own opinion then return here to see my take (if you're interested).

A blog without focus...basically calling for bloggers to have a central theme to their blog and stick with it.

My wife has said that one of the reasons I don't have a larger readership (aside from the whole drop-in-the-ocean-of-voices thing) is that I don't have a focus on this blog. She's right that I don't have a specific focus. On this blog there are some book reviews, information about bariatrics, complaints about technology, and information on writing stories and novels among other things.

Would I have more people interested if I had a central topic?

Maybe.

I started this blog with the intent of publicly documenting my surgery and aftermath. I thought it would be a handy reference for other people considering the surgery and might give another viewpoint in the surgery decision. At the same time, it was a retrospective for my own accountability and memory on what's happened.

I knew that the surgery was a big step and that I'd probably have something to write about for months ahead. And I did, more or less.

And I knew that eventually the surgery wounds would heal and life would move on. I'm not defined by my operation. I was strongly defined by my weight issues and later by the related issues for which I ended up going to a therapist to work on, brought out more strongly by the weight loss and surgery (and job stresses and life stresses...)

Key point I should have considered: I didn't want to be defined by my surgery.

To continue working with the blog and having incentive to work with the blog, I put right in that it was about comics (sometimes), technology (sometimes), bariatric surgery (sometimes), and generally whatever interested me.

In reading Penelope's blog post I saw that I had set myself up a bit for misleading a potential readership. Barry Atric; the pseudonym alone would say this is about the surgery. Yet as time passed my surgery was less a factor in who I was as a person. Other things happened and my life changed. I moved on, posting updates on weight on occasion and when I had to go in for some followup appointment. Otherwise I had a goal of just keeping new content going into the feed and not skipping a day...if someone tuned in with the RSS feed they'd have something new every morning.

Perhaps that blog is right. Without focus, I may have content, but to what end? People may not appreciate having the ramblings of some random person who one day gripes about religious hypocrisy and the next is lauding a book about training your body to be like Batman.

At this point the blog was about practice and determinism. I was keeping a rigorous schedule of blogging, journaling, and working on a first draft of a novel. Keeping the blog up to date was a matter of pride that I could juggle the task along with my day job and family and other responsibilities.

In other words, the blog has meaning to me, but may not resonate with others at all. It was a crippled journal (which I am already keeping in private). I wasn't benefiting anyone since my entries are read by all of three or four people. I take pride that I was (hopefully) keeping those three or four people entertained to some degree, but perhaps the time is coming to make some changes.

Blogger has the ability to maintain multiple blogs under the same username/ID. I could split up my non-related interested into multiple blogs. Pros: I would have more focused blogs, and potentially (only potentially) more readers to help make the comments come to life. Cons: I'd have more to maintain, and I'd have to jump through the hoops of setting up each blog and try not to slip too much with content in each blog; a blog with no readers is bad, a blog with no content is worthless. I'd also have to sit down and remember how I did things like working with Google Analytics and the live feed of visitors, re-embedding information into the blogs so they're properly tracked. Definitely falls under the category of "not fun".

I could just stop with the blogging. I don't like that idea too much because I do enjoy having to maintain the discipline that comes with writing something almost every day. Novels are good for this but what good are novels if no one ever potentially sees them? I'm also very opinionated and enjoy knowing that the opinion is being spilled on the webbertubes, even if the number of people reading the material numbers in the less than ten. Still, this is an option.

I could keep doing what I'm doing. That is, this blog, as it has been. Let things go as they do.

I could essentially split this blog up. That's related to the part above where I use multiple blogs, but I'd also carry my baggage along. That means my pseudonym travels with me (I'm somewhat paranoid about someone at my place of employment finding the blog and taking offense at something silly) as well as taking the time to parse out various articles and migrate them to another blog site so the content I've worked on doesn't disappear.

I could just kill Barry Atric. Essentially create a new identity online with Blogger and start multiple blogs with focus, this time as a more generic pseudonym and repost the information from Barry directly into a new blog focused on the surgery information. Turning this over in my head I might also be able to feasibly just delete everything from the Barry blog not related to the surgery and have a new person starting new blogs under the account I use for Barry...just put Barry on a diet. The Barry blog will become more focused and trimmed while other blogs take up the slack. My only hesitation is how Blogger handles this, as I've already got an icon and account registered with little other than my email being "real" and everything else Barry. I'd hate to have tried refocusing on, say, technology with a name attached that says "Barry Atric."

On the other hand...I could stop updating Barry's blog and focus on creating side blogs for different topics.

I don't know what I'm going to choose to do. My schedule is very full for the next month, and dedicating time to planning some kind of migration will be difficult at best. But maybe that is just what I'm going to have to do. I may just start another blog before this post hits the webbertubes and see how that goes, posting specific content to it (or re-posting content from here to a new one) and see if the content specific site garners more attention. If it gets a decent amount of love from Google, I'll adopt more blogsites and start branching out and retrofitting content from this blog to another one.

One obvious con to any of these (except keeping things status quo) is the obvious problem, to me, of no longer keeping a "once a day" schedule. I may have content every day but to one different sites. I'm very afraid that if I break my routine then a site will end up neglected or falling into the dark simply from lack of updates. What time I did invest in it will have been wasted as I flitter among projects.

Anyone else ever have this issue or have advice on tackling it?

Saturday, October 24, 2009

Energy Drinks...Huh?

I saw another ad on TV for an energy drink.

I kept wondering about energy drinks. See, when I think of ingesting something to get energy, I think about calories. But the energy drink being advertised was only 5 calories "per shot".

So the energy they give isn't really food energy. Instead, they are more akin to "alert" energy; basically the drinks are just stimulants, made from a mix of caffeine and sugar.

I did a little research on it. Not much in-depth, but just to get an idea of what's in these things. From this link, you can see some approximate amounts of caffeine in common drinks in milligrams per fluid ounce:
Brewed Coffee: 7 to 16
Instant Coffee: 9 to 14
Dr. Pepper in the US: 4.62
Expresso: 20 to 50
Tea: 5 to 6.33

Compare that to some common energy drinks:
AMP: 8.93
5-hour Energy: 40
Diet Pepsi Max: 5.75
Jolt Cola: 5.96
Mountain Dew MDX: 5.875
NOS: 16.25
Red Bull: 9.64

There are plenty of others but this small sample shows that there really isn't anything all that special about these drinks. They're glorified soda. Some have some herbal additives, but most studies I've run across have shown that herbal remedies are hardly worth more than marketing hype. From these tables it looks like the caffeine content, the primary reason these energy drinks are "energy" drinks, is easily rivaled by a strong tea or coffee. Turn the tea into a sweet tea and you have an energy drink for far less money.

I originally thought the energy drinks were a ripoff because they advertised energy without calories. After a skimming of materials on the subject, I see that even with drugs added energy drinks are more of a triumph of marketing over science. Making headlines by being banned in some countries were simply adding to the marketing engine.

In the end the only reason to drink energy drinks is because you like the taste. Otherwise it's just an overdose of caffeine, which probably isn't good for you anyway. Then again, this is America...

Friday, October 23, 2009

TV Stars Dying On Camera

Wow. TV sure is changing.

I just found (although this is being posted several days later...) a news article about a TV show that is apparently in Australia about risky surgeries. It has already been confirmed that some of the patients die.

The article I was reading is found here.

It's called Last Chance Surgery. One of those surgeries involves a 17 year old hairdressing student with brain cancer. The doctor says that it's virtually guaranteed that in surgeries like that something will go wrong, and a significant chance that something debilitating will be a lasting effect. Because, c'mon, let's be real...you have people cutting into your freakin' brain.

Unlike all the shows we have on ER's and life in the ER and ER Traumas which highlight the morons that end up with sticks in their ears and motorcycle accidents of untold horror and the patients wheeling their way out in the end apparently this show is going to show people with one shot at survival...and you, the viewer, will get to wager on who will make it to the credits.

I personally prefer seeing shows that are more realistic. We can't even get news shows without a wonderful dose of bias thrown in for good measure. "If it bleeds, it leads." Every news station is accused of being either leaning so far to the left or right of politics that we have to turn to stations like the BBC to find out what is going on in our own country. Other shows simply portray life as being so Disneyfied that I want to expunge what is left in my stomach or so unrealistic that...well, I watch the fantasy shows.

What do you think? TV has definitely changed from the more "pure" and far less realistic worlds inhabited by June and Ward Cleaver or even the Seavers. Is a shift to a more realistic world better?

Or is TV simply becoming a cesspool of personal agendas operating under the guise of realism, where "reality TV" is in fact still nothing more than a wheelbarrow of fertilizer?

Thursday, October 22, 2009

Tasty Fried Food

I avoid fried foods now. I've had a bite once in a great great while, but overall I avoid it simply because fried foods make me feel a little queasy (psychosomatic, maybe?), but fried foods aren't very good for you anyway.

One of my guilty post-op pleasures is following the This Is Why You're Fat site. Every day, a new culinary concoction. Such as this one which sounds intriguing and scary at the same time.

There's so many things that people have whipped up and posted. I admit I've made some oddball things in the past, but I don't think I've come up with things that these people do. I'll also admit that I've seen a couple of these things at county fairs and carnivals, though.

In case you never actually looked around the site the This Is Why You're Fat site is listed on the side panel of this blog. Every day. New scary food. Take a gander. Recoil in horror. I won't tell anyone that you secretly wondered what it would taste like.

Tuesday, October 20, 2009

The Anti-Gym

I heard about this in a podcast. It's a gym in Denver called "The Anti-Gym". The website is found here.

When I first heard of the "Anti-Gym" I thought it was referring to a lounge, spa, or restaurant. Some kind of hedonistic self-indulgent resort where you do everything but exercise. I was wrong.

Apparently it's a self-styled extreme gym with their own "no chubbies" policy, generating controversy and publicity galore. They apparently endorse alcohol and marijuana as part of a healthy lifestyle (or at least they aren't against having them integrated with your lifestyle). They have their own brand of motivation to keep you going in your workouts.

You should really check out the commercials they have posted online. The owner has this thing for popping out of fridges.

In all seriousness, this gym seems...interesting? Is that the right word for it? I think it's novel. It definitely has a narrow appeal...it's expensive, it's crass and crude, and it has a very driven philosophy by which it works.

If you're someone looking to lose weight and get in shape by the use of being berated and bullied (name calling, pastries thrown at you in public, basic humiliation) then this is the place for you.

The owner makes some good points. I think he's also making them in what is quite possibly the most politically incorrect way I could have imagined, and despite this the gym looks like it's making a decent amount of money. It seems to endorse a lifestyle change to lose weight and get in shape. Portion control. "Eat to live, don't live to eat". Assessment of your progress. Things that ordinarily would make a good gym great. This gym simply crosses the border into obnoxiousville, though.

I admire the novelty of it. Personally I think it seems to be one long hazing ritual, and that just isn't for me. I can get humiliation enough just from walking through the mall and letting my imagination run free as to what other people are thinking as they pass my wide load arse. This place takes those fears and makes them real.

Here's an article that was run on the gym in the Denver Post. Yelp.com had some sparse reviews of the gym. One blog has some experiences from someone who wanted to go but was chased off by the extremely high price of admission.

Then again, if Jezebel dot com is to be believed, the gym isn't even open anymore (and the owner was critizing our new surgeon general for being too fat to serve at her post). If this is true, then the appearance of the website and the reality of this story is a wonderful example of some of the principles behind effective marketing. That is one slick website for a company that doesn't exist anymore...

Sunday, October 18, 2009

Quick Thoughts: "You're an Idiot!"

This is going to be a short entry because there is a thought that just won't stop racing through my head for the past few days. I'll share it here. Maybe someone else can comment or clarify. Consider this a fun day for the entries.

As an Aspergian, there are concepts that just don't make sense to me. Why is it a social faux pas to tell someone they're an idiot, but it's not a social faux pas to be an idiot? It seems Aspies get in trouble a lot when the idiot should be getting into trouble.

Maybe it's just a quirk with neurotypicals. Sometimes I wonder if Aspies are a window into reason, that maybe neurotypicals should stop and consider that if Aspies are driven by reason and less by emotion then they (the neurotypical) should ask themselves if an Aspie's opinion is something that they should more closely consider. It seems as if following emotional responses tends to lead to more drama and trouble in life and make things more complicated than is necessary and thus leads to more stress.

It could possibly be more reasonable if people made it a social grace to point out when someone is a dumbass instead of making the Aspie out to be the gorilla in the room for saying what others should have been thinking. Maybe you're providing a service. Some people are too dense or full of themselves to understand that they're an idiot. Aspies don't mind being told when they're missing something that neurotypicals find absurdly easy to catch in social situations. It seems reasonable that if an Aspie catches something in the social spectrum of behavior then it is so blatantly obvious that something must be wrong with the idiot to not see that they are an idiot.

What do you think?

Thursday, October 15, 2009

6-Month Followup to the Surgery

Today was my six-month followup. I had my surgery, open roux-en-Y, on April 7th. I met with my surgeon today to see how things were going.

So far things seem to be progressing just fine.

He said that skin removal isn't something to consider for another couple years. "If you jump the gun and get it removed too soon then continue losing weight you'll have more excess skin, and two operations get quite expensive," he said. Which, of course, is true. Disappointing, but true.

I saw a chart on the wall for BMI that put me at very obese. There was still a high label of fathood that I no longer fell under, but it said I wouldn't be at a "healthy weight" until I reached 165 pounds. Ugh!

In the conversation with the doctor he said he didn't see me reaching below 200. I don't know if this is a challenge or not. I knew that bariatric surgery isn't meant to lose %100 of the excess weight; Roux-en-Y enables most patients to lose something like %70 of the excess weight, so you're still fat, just not as fat.

Still that was kind of disappointing to hear though.

He said that my weight loss from when I started out has been enough that I should be seeing many increased benefits already; mobility, comorbities like sleep apnea and related health issues should have dropped, my risk of joint diseases, heart disease, certain cancers, etc. should all have dropped significantly, he said.

The entire weight loss shouldn't stabilize for another year or so. Until then...just try to stick with exercise and eating sensible portions.

That's my progress update for the surgery. Six months later, still alive. Still very stressed. And still seeing the insurance-mandated psychologist to help in dealing with my food-related...and life-related...issues and try to head off the depression and stress that life entails now that I really don't have my old friend "Big @#$ Pizza with Extra Extra Cheese" to console me.

Tomorrow will be weigh in. I hope that it will bring good news.

Wednesday, October 14, 2009

A Small Dose of Introspection

I was at a recent birthday party for a friend. At this party was an old acquaintance with whom I was, in my opinion, a closer friend for several years while in our middle- and high-school years until we had a falling out towards the end of our high school careers and from that period forth we didn't really speak much at all.

We had kept enough in touch enough to know certain things. I knew, for example, that he got married. And I knew when he and his wife had their first child. I guess you can say it could be characterized more like keeping tabs on his life. I don't know what he knew of my own life events.

I went to the party actually looking forward to seeing him again. I was hoping to see his wife...we had gone to school together...and another old friend with whom I had lost touch, but they weren't there. I wanted to see if there was any reconciliation. It's been literally nearly a decade since he had treaded so heavily on my "that pissed me off" buttons, and I believe that the best way to reconcile with people that drive you to want to kill them is to allow a large passage of time with a large distance between you.

We got along at the party. That was good. But...there's always a "but"...there was a period of reflection where I analyzed events.

We talked and exchanged a few stories. He didn't know I had weight surgery. I didn't know that he was diagnosed with Asperger's just as he was going into college.

That was the point I was thinking about this morning. Asperger's. He's always been forthright in many respects, committing faux-pas in social niceties and such. He was usually pretty good at giving and taking criticism, for the most part, as long as it's honest and relating to a task or performance instead of the person. But this doesn't make you an Aspie.

One of the hallmarks of Asperger's is social reclusiveness. This doesn't mean hiding in the woods in a shack or threatening to shoot people that come within twenty feet of your doorstep. It simply refers to a social isolation, whether physical or mental, that stems from the inability to relate to "normals". Normally, from my research, means that we tend not to draw attention to ourselves because we're introverted.

Mr. Man routinely draws attention to himself. He is one of those people that is LOUD. Loud when he speaks, boisterous in his actions, generally...well, there's a line between Asperger's and just being obnoxious. He always firmly fell into the downright obnoxious realm of behavior.

I suppose I see these traits best because there's an indirect relation who is also a loud, boisterous person with delusions of their own capabilities. I've watched that person's behavior and correlated it as best I can with other opinions and behavior profiles and came to the conclusion that this person is completely self-deluded and obnoxious (and quite proud of it, although I don't think the person in question knows just how deluded and obnoxious they are). Mr. Man isn't quite this far gone. Believe me, I've known him longer and there would be no hesitation on my part to slam that which I think needs slamming. He's not quite that bad.

There are other things that made me kind of lump him into the semi-deluded label. He works with people at a state college now after a career working in technology for a startup that went (apparently) belly-up. He talks about making really good money, having lots of good money...he started out from poverty, so maybe "good money" is relative but the way he spoke made it seem as if he's going home at night and rolling in piles of cash. Working for a state college system...I can't reconcile that. I acknowledge that it's possible he's making a lot. A computer science degree can be worth quite a bit in the business world. I'm being paid far below what the market supposedly holds for someone with my degree and experience level (which contributes to my own sense of frustration with my situation do a degree, but that's a separate and more layered topic). In my travels I've found that there are only a few key people that make a lot of money in any field associated with academia:
  • Traditional administrator roles - superintendents, deans, heads of major departments (here I mean things like head of organizational roles, not necessarily the head of academic roles like the head of the humanities or science departments).
  • Teachers of high rank - teachers with many years of additional education (as required by law in the US for public schools teachers), thus bumped up on payscale for experience + education level, professors of many years of experience (as in near retirement)
  • Vendors and consultants - they make short bursts of income in the range of "poopload", especially for solutions that they get organizations invested in. Organizations will spend fifty grand to a million on a solution because of a good snowjob sales presentation and technology challenged decision makers, and once that check is written it becomes a matter of "make it work" instead of "we made a mistake, let's find another solution" once issues are discovered. Along with that "make it work" attitude comes more checks for support to the contractor as people scramble to fit the square peg into the round hole.
There may be others, especially depending on your definitions, but these are the major once that I end up envying a bit when the subject had come up.

I know that he had a talent for framing things in a more positive light than is necessarily reality. When I was applying to colleges I was accepted at two; one large college with a name that contains an "Institute", "Technology", and a city that rhymes with "Rochester" and a polar-opposite school that was small and personal but was associated as a satellite campus to a major university in southern PA. I chose the polar opposite school. He was accepted at the school with the word that rhymes with Rochester in the name as well and went there.

I think he went for a year before dropping out. More than that he transferred to the small, quiet, secluded school that I was attending.

That's a big change. I mean total culture shock. I more or less saw those differences to begin with and that was the major reason I didn't go to that larger but bigger name school; he had framed it in a positive light for several reasons and quite frankly I didn't care. Part of me always thought that at least part of the reason was because he couldn't hack it there, though. I don't know if it was the truth. I just sort of acknowledged and moved on. there's no reason to try to get him to admit something like that.

The point was that if it was true that he "couldn't hack it there" at the previous school he still was superior to everyone else at the smaller college in skills and ability and talent in his mind and didn't hesitate to make people around him understand where they were in the talent ladder compared to him.

Incidentally this further reinforced my opinion of him at the time since I was established on the campus with several Comp Sci people...and thus was privy to several conversations about the "new obnoxious punk that knew everything" roaming the halls, since I came from his hometown area and people wanted to know if he was always like that.

He spoke at the party of being on equal footing with his fellow workers at the college, people who were super-smart with PhD's. He doesn't have a PhD, as far as I ever knew, and he never told me he did. Yet somehow he always seemed to have the respect and ear of these people who worked with him while having the sacred parchment tacked to an office wall. (Oddly enough, as another side note, I tend to notice that there are a lot of people without the high-education documents that insist they're just as smart as, if not more educated due to their "school of hard knocks" life, the people who spent huge amounts of time earning a PhD in their field. I don't know if it's compensation for something or what, but I've run into that a lot. A full comparison of this topic is beyond this post's scope, however.)

He is talented, as far as I could tell. He wasn't stupid by any degree. He made a hobby in high school of playing with assembly language (remember the friend at the beginning on this entry, the guy having the birthday party? He likened Mr. Man's fascination with assembly programming to building a beach one grain of sand at a time. I always loved that comparison because in the world of programming it's pretty accurate). Mr. Man was simply obnoxious and off-putting, even to someone as socially inept as myself.

Where does all this tie in to the title of this blog entry? I believe the vast majority of people seek affirmation for ourselves on others. We want to know how far from "normal" we are and base it on other people, other relationships, to make these judgments. Our perception of ourselves is heavily influenced by our perceptions of others.

This guy for all his flaws was great at making others kind of feel like dirt. He was literally living in a room the size of a large closet and still I would end up envying his skills (though not his ego). He would talk of the fantastic job, the collection of pinball machines and video game stand-up systems like you find in arcades that littered his apartment. He had a fantastic honeymoon-wedding in Hawaii.

Seeing my own situation, stuck in debts, frustrated at certain employment situations, stresses from the surgery and coping with my own mental buggers...the picture he paints is one deserving envy.

Then I remember things like his distortion of the situation; never lying, per se, but he always had a talent for highlighting just the right features to make his talents and situation look a little better and downplay the faults. My own situation isn't the best in the world and I am aspiring to something better; I finally am starting to get off my arse and try for the next rung. I'm moving from a tentative plan to actually trying to do something about it. Maybe he doesn't deserve my envy as much as I had thought; maybe, like the once-removed relative I briefly mentioned, his world is partially in his own perceptions and my inability to tolerate living in a fantasy world once the illusion is broken is part of my problem.

Either way I wish him the best. He's obviously happy with the way his life is now and that's fantastic. Maybe someday I'll have a life similar to the canvas on which he paints. For now, though, I need to get my paints and start working on my own masterpiece.

Monday, October 12, 2009

Should You Fear the Hamburger?

This article is more than a little scary. It's nearly as long as my rambling posts, but if true, it certainly is informative.

The video on the site is especially scary.

The story has two facets; the human interest story focuses on young Stephanie Smith, a dance instructor who is now having to use a wheelchair, possibly for the rest of her life. Why? Because of the scary story. She ate a contaminated hamburger.

That's right. She ate a bad bit of hamburger and so she might never walk again.

Every day hundreds of thousands of burgers are eaten and the vast majority of people have no issues.

When there is an issue with food poisoning, it is rarely worse than your average flu. You end up with the crappers or stomach ache, maybe with a bit of yarking thrown in for good measure. You feel lousy for a couple days and that's it.

But this video is a reminder that there are two things you never want to see the process of being made; meats, and the law. This one only covers meat.

It runs through the industry standard lack of throughness in inspecting our meat supply and the lack of accountability in preventing outbreaks of illness. It's amazing to me that more people aren't sick from their food.

This story highlights how the hamburger you get in your grocery store is often mixed with cuts of fat and castoff, less than premium meats in order to cut costs. It isn't well inspected. It isn't cleaned thoroughly. The hamburger that made Stephanie sick was actually a mix of crud from Nebraska, Texas, Uruguay and South Dakota. Yes, one of those isn't a state in the continental US, for those of you that are geography challenged. The hamburger from your local grocer could very well be a mutt of varying pedigree and chances are you have no way of finding out.

We take it for granted how our food is handled. We just get this end product and assume that a cow went in one end of the slaughterhouse and the red matter came out the other side, gets packed, shipped to the store and we buy it. Not so! What you're getting is a fine mix of varying quality meats meant to mix meat with fats in a way that is the lowest cost to your producer.

Fast food, for all the artificial stuff added to the foods for preserving it and enhancing flavor, isn't immune to the good old poisonings. E. Coli first made mainstream headlines with the public with an outbreak from a Jack In The Box, going to prove the workers in the kitchen blowing their noses on the grills to watch it sizzle isn't the only danger lurking in fast food and also proving that there is indeed some "real" food mixed in with the fast frankenfoods.

I have to say that this story was a little frightening. My current habitual diet is comprised of sliced turkey and sliced ham; it's not a pressed or mixed meat like hamburger (and I'm desperately hoping that there's at least a slightly better margin of safety to those meats), but we did find out that the stuff we buy comes from one of the largest meat companies that also happened to be paying for this woman's medical expenses...Cargill.

Hippies and tree huggers and general nuts with berries on the brains like to be very vocal in their advocacy of organic, natural foods, and denouncing anything from a wrapper, be it fast food or stuff off the grocer's shelf, as being beyond evil for the temple of the body. There are so many claims of how horrible everything we ingest is that it's hard to know if this poisoning in meat is something to worry about or if it was a fluke, and I'm merely disgusted by the stripping of ignorance behind what brings the clean and abstract food from the grocery store to my plate.

We already hear, repeatedly, about the ways foods will kill you.

  • chemicals added to fast food.
  • saturated fats
  • sugars and empty calories in cakes, cookies, brownies, etc.
  • high fructose corn syrup.
  • artificial flavors and enhancers
  • high sodium and calories in restaurant foods
  • pesticides lacing vegetables and fruits
  • maximum allowance of generally considered non-food items...like, for example, insect parts...in peanut butter, cereals, etc.
  • most of the mcnugget isn't meat. It's corn. Surprise!
  • portion sizes are sky-high
  • diet drinks may actually increase your weight
  • mercury is found in seafood
  • workers in restaurants and fast food joints have been known to take...liberties...with your order. Especially if you ticked them off in some way.
  • etc, etc, etc...
Now there's the scary way our meat is actually not closely inspected between slaughter and dinner plate. You can't trust anything you didn't grow and prepare yourself. Unfortunately that's probably not feasible for most of us.

So...is this something to worry about? Or do we just keep living our lives in willful ignorance? Sometimes it really is true that ignorance is bliss.

Sunday, October 11, 2009

Going Fer' a Walk

Here's another relatively short posting.

I've been trying to do some kind of exercise, mainly to supplement weight loss but also because it's supposedly a requirement to not waste away or lose muscle and bone mass. It's hard. The gym in my area has lots of equipment, but no training program for the noobs, or if they do they don't advertise it. I'm making a hobby of figuring out which muscle is going to ache because I think I did something wrong with the free weights.

One thing I am doing new now is walking outside. I don't do it often since outdoor weather isn't as predictable as indoor weather at the gym and I can't get some idea of distance, pace, etc. when walking in the woods compared to a treadmill. On the other hand the gym doesn't have cool looking mushrooms to look at.

This isn't always a great idea though. Turns out the gym is usually safer.

Last night (keep in mind this is being posted later with auto-scheduling) I was planning on going for a walk at the state park. My son and wife had gone the first time I decided to try hiking a trail, and my son actually ended up enjoying it. Well this time around they weren't too hot on the idea so I went by myself.

It was around six o'clock when I left. When I got to the park and started walking there was plenty of daylight. I decided to follow one of the longer trails to see how far I could get.

Lesson one: find a way to track your distance, even if it's a pedometer, if they don't mark the trail well.

I finally reached an open point where I saw a lovely cloud formation at the sunset and a sign saying I was 1.2 miles from the trailhead.

Lesson two: pay attention to details. Notice I said sunset at the middle of the trail I hadn't been on before?

I turned back at that point and started down the trail. I was feeling a little worried because most of the trail turned out to be a HILL. I was scaling an incline a good 75% of the time and my chest was giving a hollow thump...something I need to talk to the doctor about at my next appointment.

Lesson three: the gym sucks, but it has a defibrillator. Luckily I didn't need it.

The woods are lovely. The massive trees with their turning leaves and lichens and mushrooms...getting back to nature is nice once in awhile for a tech-head.

Lesson four: there may be enough light to see when in a field or open area. The woods will be approximately %50 darker. Once it's dim out, the woods will be near-black.

As I was heading down the incline to where my car was I heard more crashing through the woods than I was overall comfortable with. That's when I remembered that making noise helps alert animals...like black bears in the area that also happen to have the perfect camouflage for the night...that you're coming. It wasn't a problem when I first started since there were dried leaves all over the trail. Here? Not so much. It was mostly dirt and roots and rocks.

Lesson five: I started counting my steps out loud. Yes, I did hear a few more things moving in the woods after I did that. Not like a mass exodus of an army of gnomes, but I heard something out there...

I finally hit the end of the trail and it opened to the road. The problem was that I didn't recognize it. I must have missed a turn somewhere along the way.

Lesson six: new trails without a map...bad idea.

I had seen the occasional sign along the way, I simply must have taken a zig when I needed a zag. I wasn't overly worried since as a tech that needs to use tools and flashlights, I started carrying a small LED flashlight clipped to my belt. I was able to read the few signs I passed. That was actually my first inkling that I was in trouble. I found a sign that I didn't remember seeing before shortly before the trail ended at an unmarked road.

Lesson seven: while I didn't have a medical kit, which I should have had, I did have a flashlight and a small toolkit. Just in case. Unfortunately it's a just in case while I'm at work or just going about my day. Anti-venom kits and band aids aren't typical hazards in my day. Bonking my head on rocks from tripping on a root in a trail isn't part of my workday hazards. Hiking around the woods, probably should be more careful here.

I did find a small sign that said that I couldn't park along the road anywhere and at any time, and instead had to park at the lake a the bottom of the hill. The trail ended with a road that was...you guessed it...on a hill. So I walked down. Five minutes later I could discern, barely, the outline of the lake and the guardrail preventing drivers from plunging into it, and recognized where I had parked.

That was my adventure for that night. Some more experience under the belt, and I walked nearly two and a half miles.

Thursday, October 8, 2009

"You Must Feel So Much Better!"

I think I've alluded to this topic before to some degree but I've been hearing this so often lately that I think it bears a revisit.

People have been suddenly asking how I'm feeling, or saying to me "You must be feeling so much better now!" or some other variation of the statement.

I of course don't know how to react to it. I had to sit down and think about a decent canned response for the question.

In tech support issues I learned that when people ask what happened to their computer they are lying. They don't really want to know. They want some nice short Twitteresque response that fits into a little box with a bow, not the dissertation to explain that they downloaded malware from a website probably while web browsing those stupid flash game sites and that program started downloading other applications in the background and turned their computer into a zombie under the control of some jackass in Europe with a penchant for launching denial 0f service attacks on companies that wouldn't give them a refund for a broken dishwasher. Nope, they want to hear something like, "It was the electron exchanger. I reinstalled with the restore CD and it's better now."

The same goes with surgery. I know, heavy on cynicism, but this kind of weight loss doesn't easily summarize into two or three sentences. I can't delve into details of the pain of recovery. I can't explain in two minutes that I can't eat brownies or pie anymore. Or the dumping. Or fear of trying new foods with unknown ingredients. Etcetera. Etcetera. And I have my own fears of stigma; I took the "easy way out". Surgery is magic weight loss. Effortless. It's none of those, but without proper elaboration the average person making smalltalk may think that. For an Aspergian, these exchanges are painful sessions of indecision of what is proper or appropriate to say.

The truth is that I feel like the same person I was. The change wasn't instant. It's painfully slow. Day by day. When you change in a way that leads to slow acclimation, you don't notice a sudden spring in your step. You have revelations. Like getting out of the shower with the glass doors and not SCRAAAAPING to get through it or wondering if you're going to knock the doors out in the process. Or bending over to get something and your underwear falls down because they don't fit right anymore. These are sudden things, not gradual changes that you can see like a health gauge on a video game character.

But I still wake up feeling like the same me that I was a year ago.

So has anything changed? Sure. I work hard at trying to lose the weight. I hate the riding of bike, the treadmill, the freeweights. I hate the missing all-you-can-eat pizza at gatherings and the Chinese Buffet cheese wontons and the double cheeseburgers and the mozzarella cheese sticks. I hate seeing nothing but clogged arteries when I see a TGI Friday's sign.

I have become, hopefully, a little less willfully ignorant of eating and exercise choices. I'm still learning. I'm actually acting more on my knowledge than ignoring it. C'mon...are you telling me you didn't know that the specialty coffees from Starbucks you didn't realize were unhealthy than just plain coffee? Or that McDonald's isn't a healthy meal choice? I don't know of any restaurant that isn't fraught with health dangers; you have to search for choice selections to have any chance since most restaurants...Red Lobster, Olive Garden, Panera...are high in sodium, fats, and/or calories. They're good once in awhile, but they've become staples in western diets. And we ignore the fact that we KNOW they're not good for us because they taste good and hey, we're not leaving the restaurant in an ambulance! The surgery was an excuse...and reason...to avoid most of the things that doctors have been telling us to avoid all along.

I have more demons. Most fat people aren't fat because they like to just eat.

Okay, I liked to eat.

But there's more to it. I have a kind of love/hate relationship with depression. I have relationship issues. I have stresses. I have issues that fudgy brownies helped make me feel better about.

The bariatric surgery means that in the short term you can't turn to your old counselors for emotional boosts. It means depression gets worse. It means strained relationships. It means stresses getting higher. It means in my case stripping away my greatest defense from the world I have grown to despise in so many ways, and being laid naked in that environment leads to problems that need to be dealt with in other ways. Otherwise the surgery will fail. That bit about being a magic bullet? That's bull. There are people who start piecing at the sugared foods again. They tolerate dumping. They liquify meals so they can eat more at one sitting and get the excess calories, and they can cheat the system. Or they start eating more and more of the sugar-free stuff to avoid some dumping but get cheap calories and by eating slowly much more often they pack in the pounds again.

I also have issues with my skin. It's loose and flabby. I don't know if there's any way I'll afford surgery (or another copay) to repair it. When I turn around I stop moving and after two beats my gut stops moving. I'm deathly afraid of raising my arm in public lest people think I'm melting when they see the grotesque flesh dangling from my upper arm.

So I am controlling my diabetes through diet. I fit through door more easily. Sometimes I wonder if I could get up the stairs or walk the distances I do now if I hadn't lost the weight. I get anxious while buying clothes because there's no way these numbers should fit. But I also have more demons to control. I have traded some problems with fat for problems with image and issues controlling my wavering despair and stress.

In the end when people ask how I do it I use my new stock answer. "I eat less." Because it's the truth. When they say, "You must feel so much better!" I say, "Some things have gotten better." Because that's the truth too. I don't know if they'd ever want the full truth. Because I don't know if they can handle the truth.

Wednesday, October 7, 2009

Progress Update

Today started out well and ended on a sour note. But oh well...some days are like that. Get up, brush off, hope tomorrow you don't end up on the ground again.

I had a small milestone pass. I broke the 270 barrier. I weighed in this morning at 269, for a loss of 189 pounds since January (and 107 pounds since the surgery in April). Right now I'm just really anxious waiting for Friday's weigh-in to see if I at worst am even-keel at 269 or if I'm going to hit 270+ again as my body is wont to do sometimes.

I'm also working on the first draft of the novel and last night it broke the 30,000 word mark. From what I understand, 50,000 words is generally considered a novel-length. Roughly. I've heard some say 80,000 to 100,000, and I've heard some say that longer first novels don't sell from unknowns (has to do with how much ink and paper publishers will use up in trying to push an unknown author to the public...we can't all be J.K. Rowling, I guess...)

So I dropped below 270 and passed 30,000 words. My two big milestones for the day. I remind myself of this when I have bad days, so right now I'm kind of in a melancholy mood. It all evens out, I suppose.

You're Fat. Let's Cut Your Pay

Here's a real WTF. Apparently the Senate Finance Committee passed an amendment to the healthcare bill that will penalize workers not following a "healthy lifestyle". A blog post on the issue can be found here with links for more information.

Apparently it's unhealthy lifestyles that are entirely to blame for skyrocketing healthcare costs. At least, according to the idiots in government that is what is causing the problems. It's like the lack of standardized tests are the root of our education problems, not the fact that our culture denigrates intelligent people and glorifies people who are more into chugging beer and achieving touchdowns...our current President was actually losing some votes because he wasn't someone that voters would "want to have a beer with". That says something about our population.

I'll make it clear that I think our unhealthy lifestyle in this country is certainly not helping anything with the cost of healthcare. What I also see:

preventative care: poor people who wait until they are literally unable to function before being dragged to the ER are in a far worse spot than people who can go in to find out why that weird mole is changing shape on their chest or why the rash is getting painful.

Bureacracy eating time and resources. The bariatric office I have been working with has a person whose only job is to work with insurance companies. I've heard other doctors complain about having to fight with insurance companies, and read about doctors that have had to choose between diagnostics for people or letting them go without certain treatments because insurance companies say they wouldn't need it. Taiwan managed to increase health coverage to its citizens while having the lowest administrative overhead; they did it using smart cards that keep patient records and information, thus lowering insurance fraud, duplication of services and tests.

The cost of healthy living. These arseheads in government are the same monkeys that have a subsidy to corn farmers and tax sugar imports, meaning that the controversial additive High Fructose Corn Syrup...a possible contributor to weight gain...is very cheap and found in just about every @#% thing in the supermarket while sugar, natural sugar, is too expensive and thus harder to find. Gym memberships are out of the budget for many households, especially with today's economy. Eating fresh fruits and vegetables isn't very cheap either. There was just a study released showing how the healthy mediterranean style diet was more expensive than the more calories-for-your-buck Western diet.

Now these arsehats are saying that if you're overweight or smoking or anything else deemed "unhealthy" and not willing to follow some corporate shill's idea of a wellness program, you could get dinged with an increase in your premiums. In a time when people are struggling to keep a roof over their heads and are barely able to even get a job, somehow this is going to give incentive to become healthy. Here's a bit of news: making people miserable in the workplace isn't considered healthy living.

Do you think stress will help with health costs?

Do you think misery and stress don't contribute to being overweight? Or strokes? Heart attacks?

Don't you have a responsibility to be consistent in the first place...i.e., stop giving tobacco companies a free pass while at the same time penalizing the tobacco consumers?

What about lifting the taxes on natural food sources like sugar, and instead shifting some of that corn into alternative fuel uses instead of using them as a primary ingredient in McNuggets?

What about taking action to make it cheaper to eat fresh vegetables and fruits instead of salami and Twinkies? The government has no problem artificially manipulating the cost of things like milk and corn. Why not make it so I can buy fresh vegetables and lowfat ham and bread for my meals for less than the cost of a cheeseburger and McD's, all things considered?

No, no. These mustn't be considered. The real problem is that in a time when we're struggling to pay our bills, we need to add one more reason for employers to hate their employees and give another justification to cut costs by trimming headcount when employees, miserable and stressed by yet another pressure at work, aren't trimming their waistlines. All under the guise of "personal responsibility."

I didn't see it mentioned that people who are living a "healthy lifestyle", whatever definition they come up with for that will be, being rewarded. I only see punishment in the material mentioned at the original article. You're fat? Well...that goes into your record. Don't shape up and you might just happen to get let go at the next round of pink slips.

This sounds more like a federally legal way to discriminate. I really hope this gets slammed into the courts and the first person hit with this discrimination wins big. Maybe one day those arseheads on the hill in local, state, and federal governments will learn to get their heads out of their collective rectums and actually focus on something more important than whether or not Bob in accounting is twenty pounds overweight, or at least stop propagating the myth that there's one overarching cause to the healthcare costs.

Hmm...why is it that when discussing health costs, it's never at all the fault of the insurance companies that are making billions of dollars a year? It's never paperwork, it's never bureacracy, it's never making preventative care affordable, it's never our culture glorifying the lifePstyle of gluttany and excess, it's never linked to stresses and poverty? It always seems to be that it's because Bob is eating too many Twinkies. And it's conveniently Bob's fault. So now they're going to penalize Bob.

When I think of it like that I can't help but picture someone handing someone a chocolate bar then giving them an electric shock whenever they take a bite of it, or those oddball countries that managed to get laws that make selling sex legal but purchasing it illegal. Huh?

There are times I'm so fed up with dealing with the intricacies of human interactions that I want to just separate myself from everyone and live in an earth-bermed home in the woods all off the grid. I couldn't possibly be the only person that finds all of this to be ridiculous, am I?

Sunday, October 4, 2009

Hearts are Funny Things

I went to the hospital on Friday for a quick errand to the lab. A ten, fifteen minute job at most. I had let my boss know I'd be out a few extra minutes that morning, he nodded and said it was fine, and so I headed there first thing that morning.

Now here's the fun part. For the past few weeks I've been having this feeling of hollow thumping in my chest. I feel it for about five seconds or so, maybe less, then it's gone. It's annoying. And sometimes worrisome. No pains, no dizziness, no bouts of extra sweating, just...palpitations.

My next appointment with my primary care physician is in December. Since I've been having these little bouts more frequently I decided that while I was stopping at the lab I would stop at the receptionists station and make an earlier appointment.

"She has a slot free on Monday at 3:00...what is it for?"

I explained. She had a weird look on her face. She then looked up some more information on the computer and said, "Rather than let it go over the weekend...we have a Dr. ### and his resident free in half an hour. Would that be okay?"

Apparently they don't like letting chest problems go. The issue was annoying to me, but never enough for me to tell my wife, "C'mon...I need to go to the ER." I hate the doctors office, but not because of the questions or the poking or the prodding or the blood drawing or even the feeling that I'm being called to the principal's office for eating too much. I hate it because of insurance companies. And paperwork. And screwups. And uncertainty in billing.

If I could cut myself off of all the obligations I have to my creditors and billing issues, I'd go off grid for all but my Internet connection.

But I agreed to see the doctor and resident. My 20 minutes visit ended two hours after I walked into the hospital. I had a long consult with the resident (he spent a good deal of time correcting my medical records for medications; that morning I sat down as I took my daily pills and recorded every name and dosage and printed them out). He went through checklists. He checked blood pressure. He found no reason for my palpitations in the medications.

The doctor that oversaw the resident then came in. Friendly as friendly could be, and he smelled like a pleasant fragrance in soap. I notice those things when you have someone leaning in close to check, again, the chest and back for breathing and heartbeat and pulse. He concurred with the resident for a plan of action. He told me that from my history...which was narrowed down a bit thanks to the surgery, since I only drink water now and follow a bland diet of personal choice (and is the reason I have a bariatric tag on this entry)...the most reasonable explanation was that I was suffering from STRESS.

Yes, my job may be shortening my life and is killing me.

I've been told this as an aside from my therapist and my primary care physician at different points when my blood sugar started going wild at certain points when certain things were going on at work.

I was scheduled to go to the blood lab early next week, and as soon as I went to reception he scheduled me with Cardiology. I had an EKG done (took five minutes. Literally.) and then the tech fitted me with a 24 hour wearable monitor.

The great irony? Because of events outside my control, the day was one of the least stressful I've had in weeks. The heart monitor will have had no idea what my average day was like. And otherwise these palpitations occur almost every day; I don't find it strange to have at least 2 episodes over the course of the day. A little more irony sprinkled on came from the fact that I couldn't exercise Thursday due to scheduling issues, planned to do it Friday, and couldn't because if I became too sweaty the leads wouldn't stick. So I'm on the stationary bike while typing this entry to make up for time.

I'll find out more after they get to analyze the EKG and the results of the recorder and the blood analysis.

I'm kind of torn in that I'm afraid they'll think I'm making this stuff up if I don't show anything on the results, but if they do find something I think that heart issues are usually not something to take lightly. I want validation that I'm not imagining this. But the reality of not imagining it could be extremely frightening...I suppose this is one case where I'd rather have nothing to worry about even if I look like an idiot.

I'm not a hypochondriac. I felt a couple hard thumps during the monitoring but not like my usual mini-episodes. So will it have found anything out of the ordinary? No idea.

Perhaps if Captain Irony wants the last laugh I'll finally get close to an ideal weight...near the time I finish my final draft of the novel story...and then have a heart attack as one final F-U. It's like paying off all your debts and running out of the post office with a giant grin on your face just when a bus hits you.

While I haven't thought these weird palpitation feelings lasting only a few seconds at a time have been enough to justify the anxiety of paperwork and billing and waiting at an ER I also think I worked too hard to try turning my health issues around to not have tried seeing my PCP earlier and have her check me out for potential cardiological issues. I didn't know my 15 minutes to the lab would turn into two hours of diagnosis and taping gel-covered leads to my massive hanging clumps of flesh, but it certainly did make the day more interesting.

At any rate I'm still alive and the monitor is now in an envelope to take back to Cardiology for analysis. I hope to know more about the results later in the week.