2020. Unlike most years, I’m not really interested in doing much ruminating on 2020. It was a rollercoaster, one I don’t care to ride ever again. While I totally get that many of the problems we faced in 2020 aren’t magically gone, I am super ready to take reset that a new year offers (even if it’s only a placebo).
2021 will hold a pretty big adventure for me, one that I’ve been wanting to do for a while, and now I’m at a place (read: not a grad student) to do it. If all goes to plan, I will be having gastric bypass surgery in 2021.
I wasn’t sure if I wanted to go public with this info. There are stigma associated with bariatric surgery. There’s a belief among some that it’s “cheating” or for people that don’t have the willpower to lose weight “correctly.” There are others that believe that weight-loss surgery is fatphobic and irreparably alters a healthy body for no reason, putting thinness ahead of health. Neither of these things are true.* To do my part in breaking down that stigma, I’ve decided to be open about what I’m doing to people in my orbit.
I am doing this surgery because I have always been obese, for as long as I can remember. I am not doing the surgery to lose weight, but rather to keep it off. I also am hoping to stave off type 2 diabetes and high-blood pressure, for which I am particularly high risk owing to family history.
I am doing the surgery because I wonder every day how my life would be different right now if my mom had had the surgical intervention. Would she have died at the age of 59 from a pulmonary embolism (a pretty direct consequence of being obese)? Would she have been happier? Would she have been able to do things with us in the last few years of her life? It is true that skinny does not equal healthy, while it is similarly true that morbid obesity (the worst term) is a deadly state.
I don’t want to wonder those questions about me. I am taking a proactive stance, and trying to prolong my current health for as long as possible. That’s the primary reason why I’m doing this.
It would be wrong for me to say that I am not looking forward to no longer sticking out like a sore thumb. To no longer see people’s eyes rolling when they see that their seat on the airplane is next to mine. To little kids, well-meaning dears who really don’t know better, asking if there’s a baby in my belly. To seeing people’s eyes look you up and down and know that they’re forming some assessment of your interior worth because of the exterior of your body.
Right now, I’m in the pre-op stage, which is dictated by my insurance. In order to qualify for them to cover the surgery, I have to have 6 consecutive months of weigh-ins where I either lose or maintain my weight, pass a series of medical pre-checks, and take several classes. My surgeon requested that I lose 20-25 pounds before surgery and I was put on a diet that’s called a “liver reduction diet” that reduces my carb intake in order to make my liver as small as possible for the surgery.
In the past 2 months, I’ve lost 25 pounds and I feel great. I’m proud of the steps I’ve taken for my health. I’m excited to see where 2021 takes me with this process. I’ve always felt like I was in a war with food, but in the past 2 months, I’ve felt so in control.
I do have concerns, questions, and anxieties about the risks this process entails, but that is for another post and another day. Today, I am excited about possibilities.
*I do think the approach to bariatric surgery can vary highly. If your surgeon and practice don’t put health first and privilege the goal weight over the rest, I’d find a new surgeon.