Friday, November 16, 2012

In A Roundabout Way, Screw The Stats

I was on SparkPeople for a while about six months ago, and dropped it due mostly to bone idleness. I did get a few useful things out of it; their Nutrition Tracker can be set up to track individual nutrients, which is how I found out I don't typically get enough iron and potassium in the course of a day. These days, I take a multivitamin and keep electrolyte drinks close. I think SP's tools are flexible enough one can use it if one's a HAES adherent, but it'd be difficult. The communities and advertising are geared towards weight management.

Anyway, it's time you guys met my imaginary friend.  I popped to my neglected SP blog for this entry:

---
Hi.

I don't really want to do this, because the inside of my head is a messy place. But my imaginary friend kind of insisted.

**She's right, I did.**

He's a figment of my imagination dreamed up to counter some bad brain habits. An externalization of the part of me that doesn't agree with the majority -- those parts that insist everything is fine the way it is, because outward form should reflect inward and there isn't anything in me worth much.

**What I'm trying to do is break her habit of cyclic negative thinking, and persuade her to change without resorting to screaming. She's had plenty of people -- some of whom really do love her a lot -- yell at her, use emotional blackmail, shame her for being different. I'm trying to untangle what she is from what she does. She's not a bad person, she's made bad decisions. Thinking she's a bad person full stop gives her the idea that she doesn't have to bother learning from her mistakes. And that's incorrect.**
---

**She hasn't been listening to me lately because she's had other things going on. SparkPeople looked like it was working, from a lifestyle management standpoint.**

Except that I don't like feeling constantly on the defensive about anything, and sooner or later I'll reject that paradigm. Taking questions of any kind as a sort of personal attack -- it's just one of my fantastic personality issues.

**She's oversensitive about judgement--**

Which is another way of saying I'm a huge drama queen--

**Stop that. It isn't your fault your father couldn't think of a better way to discipline you than to make you feel bad about yourself.**

Oh the nuances of communication. He was probably saying What You Did Is Stupid Don't Do It Anymore; what I heard was You Are Stupid! Stop Being Stupid! Or Else!!! I Can Hurt You!!! Even Though I Never Have!!! I MIGHT!!!!! (a sentiment communicated with that world-shattering bellow). And you know what? Understanding that doesn't make the memories any easier to live with. Just like knowing my mother's problems with touching don't have anything to do with me -- my mother's an incest survivor, she's very protective of her personal space. But I can't help but wonder; is she recoiling because she's uncomfortable with contact in general, or just contact with me? Then I remember that I'm a selfish shit for even wondering that. Go me.

**Sweet one, you feel what you feel. Remember Captain Awkward--**

"It's impossible to work through your feelings when you're berating yourself for having those feelings to begin with.[1]" I'm paraphrasing, obviously.

**You're also disassociating[2]. Go get Mr. Sadface[3] and take some belly breaths.**

. . .

**Better?**

A little.

It's yet another place where a sporting mindset has tried to help and failed, I think. SparkPeople's less about how one feels than the quality of the stats one keeps -- I ate my produce, I drank my water, I stayed in range, I got in my twenty minutes exercise (though to be accurate all four of those things happening at once was rare, what can I say? my taste for vegetables is a work in progress). Sometimes I felt good. Most often I felt whatever it is I feel usually. Sometimes I felt very discouraged and downright pissed at myself. Of all the possible variance in genes and physicality and environment, why did I get the body that can somehow saddle up almost 400 pounds of adipose tissue?

The trouble with applying sport's obsession with stats to health is pretty simple; people aren't machines, life doesn't follow clear understandable rules, and there's no criteria set to determine positive versus negative outcomes. I read on SP once that people intimidated by weight loss shouldn't shoot for an ideal weight -- a 10% reduction in one's current body weight would ensure significant benefits. But is that really a Weight Loss Success? Last time I weighed, I tipped a 520. Subtract ten percent, that's about 470 pounds rounded up. That's still in the Why Aren't You Dead range of BMI and still far outside the socially acceptable range of curviness.

So throw out weight as a data point. What about health conditions? A long-term study on the effects of dieting on Type 2 diabetes was shut down two years early because the data showed calorie restrictions don't produce positive effects[4]. Studies have shown many people with obesity have hypertension, but no one's been able to draw a clear parallel between weight loss and a corresponding drop in readings. In fact dieting often results in a swing pattern of fasting and feeding (weight cycling, or yo-yo dieting), and that *does* have a negative impact on metabolism, blood sugar, and blood pressure.

What I'm trying to accept is that scientific understanding of how the body needs and uses fuel and energy is a work in progress, and the work that's been done so far doesn't support the conclusions being bandied about with such evangelical fervor. I can accept being told what to do if doing as I'm told will keep me safe and happy; weight management does neither. So I'm not going to do as I'm told.

**What do you mean by that sweetheart?**

I mean:

-When I eat something, I eat it because I want to for my own reasons and don't have to justify it to anyone including myself
-I'll exercise if and when I want to, because I like to, and not because I'm afraid of Death walking with me. She does that with everybody, not just fat people.[5]
-My body is not a symbol of a public health crisis. I am not Typhoid Fatty (tm), and obesity is not a public health crisis.
-I don't have to feel guilty for not having the inclination to treat my body like a part-time job. I'm a tax clerk for fuck's sake.
-I will not focus on the numbers (except in weightlifting, where keeping track of work is how you keep from hurting yourself). Instead, I will focus on feelings.

It's not a complete list of principles to live by, but it's a start.

**Do you want to talk about your stab at therapy?**

Not right now.
-BJ


[1] ". . .  it’s wicked hard to process a feeling when you’re simultaneously beating yourself up for having the feeling in the first place."  http://captainawkward.com/2012/10/12/378-how-do-you-get-over-someone/
[2]Flipping between mature and immature parts of the psyche. I know that's not the proper use of the term. Sue me, I don't know a better word for suddenly turning into a sniveling preschooler.
[3]The little stuffed octopus who lives in my cube. I got him on a work outing to the Dallas Aquarium. Named for his huge sad blue eyes.
[4] http://www.nytimes.com/2012/10/20/health/in-study-weight-loss-did-not-prevent-heart-attacks-in-diabetics.html?_r=0
[5] Death of the Endless, the Sandman books. I love the idea of Death as a little Goth chicklette, wise as the ages yet whimsical and caring.

 

Tuesday, October 30, 2012

Mental Note To Self

Just to cover my bases, I asked over on the Fit Fatties Forums if anyone else had run into the MRIs Don't Fit You problem.  Here's a reply:

Re. MRIs. BALONEY! There are "open MRIs" which can accommodate people up to 550 lbs. (and some have a capacity up to 1,000 lbs.) Something like this (http://www.washingtonopenmri.com/open-mri-maryland-obese-mri-open-m...) looks especially useful, because it would show the knee while weight-bearing. Here's more about a standard, open MRI. (http://news.msu.edu/story/1260/) I'm somewhere around 360 lbs., and I have an MRI about once every three years to monitor neuro stuff.

Okay, that's useful.  This particular doctor must not've seen anything that would warrant the extra rigamarole -- I'll go with that explaination, anyway.  Either way, shopping around for another practitioner, and now I know what to ask for.
-BJ

Monday, October 29, 2012

It's Not Waddling, It's Limping

Went to the osteo today to get my knee looked at.  Got some X-rays and a physical exam.  The diagnosis is arthritis, with some bone spurs.  Doctor unable to make a more definitive diagnosis or prescribe treatment, because apparently MRI machines and arthoscopic instruments are just two more things that aren't made in 7X.

About what I expected.  Along with a plug for gastric bypass -- my polite yet short reply that it's contraindicated for patients with binge eating disorders and even if that wasn't an issue the long-term side effects disincline me to consider it an option -- seemed to leave him without an answer.  Polite enough, I guess.  Helpful in that I know there's nothing icky going on in there like cancer.

So it looks like I just got a bum knee, and I have to learn to live with it.  Been doing so for a while now.

Enough.  Topic shift!

Name something about your body that you like.

That's going to become difficult in fairly short order.

**Maybe not as much as you think.**

Oh hey, look who's here.

**Introduce me later, sweetheart.  Tell me something about your body that you like.**

My eyes.

I like how they've got tiny yellow flecks right around the pupils, and I like how they can look like pretty much any color.  Depends on what I'm wearing.  They're nice eyes.  Pretty even.
-BJ

Wednesday, October 10, 2012

No Healing, No Forgiveness

I was bullied as a kid.  What a surprise.

What one would call malicious mischief, I guess -- constant name-calling, the occasional push and shove, some tossed rocks once, everlasting ostracision.  School was never a safe place for me.  I was fat and I was weird and I was never allowed to forget it, ever.  The best advice anyone could give me re dealing with bullies was Ignore Them And They'll Go Away.  Honestly, does that advice ever work?  I think whoever coined it drastically misinterpreted the technique of nonviolent resistance.

There's a scar on the back of my head, right above where the skull starts.  I've had it since an afternoon in the fall of 1987.  I was standing on a merry-go-round, wearing a coat with one of those built-in scarves.  I remember correcting my balance, then suddenly the world went upside-downie.

I don't remember much of what happened next, except it involved a lot of blood and a lot of screaming.  I do know the injury tally included a pair of damn-near knocked out front teeth -- adult teeth too, you can still see the damage if you look close -- and a split scalp.

I'm grateful for a few things when it comes to growing up; that after the divorce my family moved around so much I never stayed in the same school more than two years, and that it happened before the age of cameraphones.  Bad enough the bastards get their classmates as an appreciative audience.  Thanks to the Internet, they can play the entire world for laughs at the expense of their victims.  What is peopleofwalmart but a bunch of bored children laughing at the people who don't fit in?

Yes, I'm still bitter and hateful.  Full of anger that has no target and thus no way to drain away, full of hatred for myself and everyone else.

There's nothing that'll unpoison those years of my life.  You can't see the scar, but it's there and it'll never go away.
-BJ

Some Drugs Are Good For You



Discovered this stuff when I was jacking a register back in the day:
Aspirin/Acetaminophen Pain Reliever Caplets, Analgesic Caplets
It's an aspirin/acetometaphin (Tylenol, or Paracetemol) mix, with a dash of caffiene.  Basically, Extra Strength Excedrin with the ingredients in different proportions.  It's the best anti-inflammatory stuff I've been able to find over the counter.  If your body chemistry is such that Alieve does nothing for you, this is the stuff you want.

A couple caveats; do not take these bad boys on an empty stomach.  You will be made to pay.  Also, if you're taking any prescriptions that use a Tylenol base (includes most prescription painkillers), be careful taking this or anything else over the counter.  It's easy to overdose on Tylenol without realizing it, because there's no symptoms.  Until all of a sudden your liver fails.
-BJ


[1]http://www.walgreens.com/store/c/vanquish-aspirin/acetaminophen-pain-reliever-caplets/ID=prod5518-product