Healthcare

One year and 86 pounds later...


It's very hard to believe that I ever got to the point where I had over fifty pounds to lose. I had stayed right around the same weight from college to fifteen years later. And then it all started creeping up. Lifestyle more sedentary, hormones battling against me, already slow metabolism laying out in the street doing nada and me whipping up gourmet meals for family, friends, boo things and the like which I, of course, had to taste along the way.

Last year when I made the decision to have weight loss surgery it was the absolute last  resort for me. I was diagnosed pre-diabetic with high blood pressure and a hormone disorder (PCOS). Fifty pounds needed to go, stat! I had tried working out, eating less, counting calories, cutting sugars and salt and fat. I was at one point eating raw vegetables and only drinking water while working out four times a week and still the scale laughed at me. It wasn't until my doctor explained how my overall health and genetic makeup was fighting me and I needed to lose the weight quickly or die (okay, not that drastic but darned close) that I said fine. 

Looking back from the other side of the mountain, I guess I would do it over again but I would pay more attention to classes where they talk to you about the side effects and your ability to come to terms with what a new you is really about. The first fifty pounds came off in the first three months and it's a shock to your entire system. My hair (my crowing glory) thinned and fell out. When it grew back in it was a different texture altogether. I have accidentally gone natural without planning on it. My hair no longer requires a perm just many lotions, potions and emollients. 

My skin is super sensitive to the sun and to cold now. Winter was a bitch. I ain't lying. Anything under 40 degrees and I wanted to stay in bed wrapped in an electric blanket. No more sun bathing for me without a complete coating of SPF 30 or higher. The days of slathering on cocoa butter oil and laying out to get all roasty and toasty? Gone. I burned to a crisp after fifteen minutes and spent the rest of that vacay under the umbrella coated with aloe vera.

There have been some fun things - running into people who haven't seen me in years and watching them figure out the best way to say I look healthy without saying "you lost a shitload of weight" - it's a game I play... how many ways can they try to figure out exactly how many pounds I've lost without coming right out and asking? The first time you zip up a pair of jeans in a size you haven't worn since 8th grade - these are fun things.

Not so fun things - retraining my brain. Having a singular bite of cheesecake and letting that be sufficient. Learning to like sugar-free (Splenda is so awesome) drinks. Having friends and family nickname me "Six-bite Suzy" because that's all I can eat in one sitting. Having to explain to waiters that you really DID enjoy the meal, you just don't want your stomach to explode.

Funny things - not realizing that going from a size 20 to a size 10 in pants means your underwear no longer fits. I was strolling across the living room of my apartment when my drawers literally fell off my ass, tangled at my feet causing me to trip and land sprawled on the carpet in the most undignified manner ever. Thankfully, no one was here to witness the event. Surely it should not have taken that bit of foolery for me to let the XL undies go.

Irritating things - going to the doctor for the check-up and having him say - "Optimally, you should push to lose 25 more and level out there." Optimally? Man listen, these last thirty pounds were a bitch. If I take off ten more, I'm good. I've accepted the fact that the boobs shall not be moved. I've fought like the dickens to get muscle tone so things don't sag (batwings are not the business). But battling for that size six? Just cause that's "optimal" - err, okay then. There is that thing in the back of my mind of wanting to tighten this and shrink that and wishing things were more taut but isn't that always the way? Is anybody ever completely satisfied with they way they look?

Weird things - my feet shrank. I was never in a wide shoe but I wore a size 8.5 or 9 medium size my senior year in high school. Now I wear a 7.5 or an 8. Riddle me that, Batman? I've given up trying to buy an entire wardrobe. I just pick up a few pieces here and a few pieces that as I go. I've developed a weird craving for beef where before I was all chicken all the time. And bleu cheese is suddenly a food group. Weird.

All in all, it's been a hell of a journey. I don't recommend it for everyone but it's worked rather well for me. My biggest fear now is that six years from now I'm writing this AGAIN because I've somehow put back on all the weight and then some. Then again, perhaps because I'm so terrified of having to write that post, I'll do everything in my power to make sure it doesn't come true.

At any rate, because you all have been with me through the whole journey - thought it would be nice to share the next steps in the journey. Anyone else getting healthier in 2013?

The Fight between Fit and Fat - The Struggle Continues


I have gained and lost so much weight over the past fifteen years, it is ridiculous. I have sizes ranging from eight to twenty-eight in my closet. Even more irksome is the fact that I have always "carried weight well"-  my cute did not diminish regardless of shirt size. (Yes, I'm modest as well) I've always been able to work out, I've cooked healthy for years only indulging on special occasions and I had no discernible health problems. Add to that the fact that I've always been able to attract and date men of all calibers, backgrounds and income brackets and overall I was okay on the weight roller coaster.

Fast forward to last summer, I felt - for lack of a better word - crappy. Not to overshare but my periods were coming whenever they wanted to, I was stressed, gaining weight rapidly, I was fatigued but could not sleep and my energy was on zero. But I was faking it because I was dating a younger man, my family was expecting me to be the Michele they know and love, and my friends, fans and followers were expecting me to be fabulous out there on the road.

Finally I hit the wall. I dragged my tired behinds to my doctor and threw myself at her mercy. "Fix me!" I implored. She tested me for everything, weighed me (I was appalled) and checked my blood pressure. Whoa. And then she sent me to the gynecologist. The next day, they asked me to come in and meet with them both. Ruh-roh.

My general practicioner went first. I was borderline diabetic, I was entering high blood pressure range and due to the genetic jackpot my parents gifted me with, it was only going to get worse. Long and short of it, the weight had to come off with some expediency. I needed to lose 50 pounds in a heartbeat, 75 pounds overall. The only problem was... the gynecologist stepped in - I was diagnosed with PCOS - polycystic ovary syndrome. A nifty little "woman problem" that affects (among other things) your ability to lose weight. It was going to be an uphill battle but we were sure we could do it.

Fast forward two and a half months and I had lost 25 pounds. Awesome, I worked harder. And 18 pounds came back. Welcome to weight struggle when you body fights against you. I would lose 6 pounds and four would come back. Finally, we decided that drastic measures had to be taken. Time was the enemy. I decided to explore bariatric surgery. Let me pause here and make a few public service announcements:
  • Only consider bariatric surgery when ALL else has failed. It's no joke. Not to be played with. Did I mentioned no joke? 
  • Your insurance may not cover the surgery. Mine (thanks Aetna) did not. And I had to come out of pocket to the tune of $16,000 + vitamins, supplements, food scale, protein shakes, etc. Cost more than my first car. 
  • Pick your bariatric surgeon with care. The first guy I went to (Dr. Kim) was a complete jerk who told me to quit eating fried chicken and chocolate cake every day. For that he charged me $250 and said he looked forward to seeing me again. And then he called me Marsha. Yeah no. Do not go to a factory where they don't get to know anything about you and give less than a damn. I ended up going to Dr. Provost and loved everyone there. 
  • Some people in your life will not understand why you are having the surgery and how it will affect you. But that's a whole other post.

I decided on gastric sleeve. Gastric bypass seemed too extreme and the lap band meant something foreign was rattling around inside me forever? No thank you. With the sleeve, they basically go in and slice off most of your stomach leaving you with a little sleeve. I had the surgery on April 20th. Yes it hurt. If I had it to do it over again, I'm not sure if I would. Recovery was a nightmare. I'm just now (almost two months later) getting my energy back. But then again, in two and a half months - I've lost 52 pounds. Twenty seven more to go.

The day after surgery you are free of diabetes, they're not sure why. My blood pressure is back to normal. My PCOS is still there but not as severe. I eat four bites of food three times a day and I'm full. I work out about four times a week. My appetite has changed. Some flavors I no longer like and for some reason I like to drink things that are very, very hot or ice cold. But the joy of zipping up jeans from the "maybe one day, I'll get back into those" section of my closet? Priceless.

Overall, I would not wish this journey on anyone. My best advice to those of you in your twenties and early thirties is to get your fitness on now while your metabolism still likes you and all the genetic conditions are still playing nice. In the meantime, I'll be the one over here whining about yoga, how my abs hate me and why I now believe Snickers bars are the devil. 

Anyway BougieLand, feel free to share your weight struggles. Even if you are just trying to lose five pounds to get back down to a size 4, I promise not to reach through and smack you with a keyboard. Struggles are struggles. Questions, comments, insights? Do share...

The Got-A-Man/Gained-Some-Weight Struggle


@CarolynEdgar and I were discussing this phenomenon a few days back on Twitter. The Got-A-Man/Gained-Some-Weight (GAMGSW) Struggle is real. It's equivalent to the Freshman 10 (15? 20?) and harder to take off because um... none of us are college freshmen anymore. 3N and I have been seeing each other for about six months now and more than a few things have changed.

While in Jamaica, I was shimmying into last year's bathing suit. It fit and looked cute but I was definitively curvier. Let's just say my cups were overflowing. I had a moment in the mirror when I wondered whose thighs had jumped onto my body. No bueno.

When you first start dating, it's all long dinners and wine and desserts. And I had to be all dazzling with the kitchen creations. Plus he has a habit of buying gourmet cupcakes. Next thing you know, it's evenings on couch full of shrimp fettuccine and red velvet cupcakes. So this is totally his fault.

Okay, maybe not. The combination of having someone who already likes what he sees, eating becoming a a romantic ritual and me walking past the treadmill as if it doesn't exist has led directly to this struggle realization moment. And with my metabolism? If I don't nip it in the bud now, those dark wash skinny jeans for fall will be a major health hazard.

Mind you, he still manages to work out four times a week. In fact, he is probably looking even better now than when we met (insert laser beam side-eye here). That just won't do. I (in my sad defense) was on deadline and juggling the HR consulting gigs and it made more sense to get in an extra hour of work instead of working out. Well, things have got to change. I've got to keep my cute. And I can't afford to buy all new clothes. Guess I'll lose the weight. Le Sigh. Prepare for Michele's I'm-on-the-treadmill-eating-salad posts.

Who knows my struggle?

Revisiting the Shiggity that is the Tea Bag Movement

Originally posted in July of 2009, I find this needs few revisions to stay relevant today.

After eight years of G-Dub spending like he was printing money up in the basement of 1600 Penn (and maybe he was); we all of a sudden have all this moral outrage from so-called "Tea-baggers" who are against deficit spending, paying more taxes, an anything they deem to be "UnAmerican". Last Summer on a hot and sunny Saturday, a group of the tea folks gathered up the road at Southfork Ranch to get their complain on stage their protest. I really attempted to watch the goings-on with an open mind. We are a ka-zillion dollars in debt so maybe these folks had some valid concerns and useful solutions to share.

I was only 2.6 minutes into watching the footage when the word "socialism" dropped out of someone's mouth. Gritting my teeth, I powered on. When someone spoke of Obama not "adhering to the Constitution written for REAL Americans," I threw up in my mouth a little bit. Determined not to stereotype, I plunked down in front of the computer and started researching what the tea bag movement was all about.

Besides having the poor taste to pick a name for their movement that brings to mind a sexual act of the XXX variety, the Tea Bag Movement is supposedly a non-partisan movement protesting all things Obama, the federal budget and, more specifically, the stimulus package and the universal health care bill, which the protesters perceive as examples of wasteful government spending and unnecessary government growth. Somehow they equate these programs with government intrusion into their private lives. They oppose the increase in the national debt as well. The protesters also objected to possible future tax increases, with taxes on capital gains, estate taxes, federal income taxes, and cigarette taxes.

So reading between the lines, the TBs don't want to pay taxes, think the mortgage crisis was due to low-lifes not managing their money, healthcare is a socialist principal and are positive Obama is a Non-American Fascist (or the Devil Incarnate - they can't decide which)… seriously? Okey-dokey then, let me ask the TBs a few questions from Matt Taibbi's blog:


  1. If you're so horrified by debt and spending, where were your tea parties when George Bush was adding $4 trillion to the federal deficit?
  2. If you're so outraged by the bailouts, where were your tea parties when the bailouts were first instituted by Henry Paulson and George Bush last fall?
  3. If you're so troubled by pork, where were your tea parties when the number and cost of congressional earmarks rose spectacularly in each year of Republican congressional rule between 1996 and the end of the Republican majority in 2006?
  4. Would you be protesting any of this bull**** if this had been George W. Bush's budget?

I call bullshiggity. I call overt racism. I call hateration on all ya Tea Bag hat-wearing, American Flag waving (whole other topic, see commentary here), Fox News-watching, Palin-lovin', evil sign holding, no solution proposing, Rush/Glenn listening finger pointers. Guess what? America is not just for you. You do not get to lead unencumbered lives of entitlement and greed without paying the piper. You sat silently by while the Frat Boy you stuck us with for eight years ran this country straight into the ground, pissed off world leaders by the dozen, sent our boys off to fight a fake war and made mothers have to choose between a gallon of gas and a gallon of milk. Your protests are too late and are based on bitterness that your candidate did not win and hatred of things (people) you can not bend to your will. Get over it and get over yourselves. Do what we did, find a candidate that YOU think can change things, get behind him (or her)and vote. Good luck with that in 2012.

Note to Rick Perry and John Cornyn - Good looking out on turning down the stimulus funds. "Boo, hiss and double boo." Oh, I'm too late, they booed you at your own tea party? 'Nuff said. Good lookin' out trying to appeal health care reform for Texas, that appeal is worth the paper you printed it on... and I have a few idea with what you can do with that paper.

Last week on Twitter, I wondered if we needed a fringe group of crazies repping for the Progressive set? By popular vote, the Twitterati decided that if we do get such a group, it should be called the Coffee Party.

What do you think of these Tea Parties? Is it just out of control? Would you join the Coffee Party if it existed?

Raise ‘em up: Health Care Reform passes

Three simple words from President Barack Obama via Twitter: Yes we can. Prez 44 did something no modern era leader of the United States has been able to do… pass a bill beginning an overhaul of healthcare and allowing millions of uninsured Americans access to medical services that will not bankrupt them. NPR's article says it best: Obama Achieves Health Law Success That Eluded Past.

President Obama gave a brief conference after the passage. I wanted to see him come out to Big Daddy Kane's "I Get the Job Done" but that wasn't meant to be. He looked tired, worn but victorious. President Obama said that the House's vote on health care "wasn't an easy vote but it was the right vote." Speaking from the East Room of the White House, the president, who made health care reform a priority for his administration, said the vote wasn't a victory for a political party but for the American people. Obama said the reform plan won't fix everything wrong with the nation's health care system, "but it moves us decisively in the right direction." Here are the major points of the bill (from MSNBC):


Understanding the health care overhaul


If enacted, the reconciliation bill combined with the Senate-passed bill would, from 2010-2019:

-Spend $938 billion on expanding insurance coverage, including $464 billion in subsidies to help uninsured people buy coverage.

-Expand Medicaid coverage to 16 million additional people.

-Require many employers to offer coverage for their workers.

-Collect $69 billion in penalties from uninsured individuals and employers for non-coverage.

-Provide coverage through an insurance exchange to 24 million people.

-Reduce the number of uninsured by 32 million people, but leave 23 million (including illegal immigrants) not covered.

-Cut Medicare spending by $455 billion from currently-projected levels.

-Not affect next month's scheduled 21 percent cut in payment rates to doctors who treat Medicare patients.

-Produce a net reduction in federal deficits of $143 billion.

And lest they be forgotten, here are the 34 jack-ass Democrats who did not back their President's play. They shall not be forgotten. Umm-hmm. We see ya'll:

John Adler Jason Altmire Michael Arcuri John Barrow Marion Berry Dan Boren Rick Boucher Bobby Bright Ben Chandler Travis Childers Artur Davis Lincoln Davis Chet Edwards Stephanie Herseth Sandlin Tim Holden Larry Kissell Frank Kratovil Jr. Daniel Lipinski Stephen F. Lynch Jim Marshall Jim Matheson Mike McIntyre Michael E. McMahon Charlie Melancon Walt Minnick Glenn Nye Collin C. Peterson Mike Ross Heath Shuler Ike Skelton Zack Space John Tanner Gene Taylor Harry Teague

More work to be done but for tonight at least, pop a bottle and raise 'em up! My President keeps promises to the American people. How great is that?