Link: Elastic Waist: Rant: Taking the Bite out of Fat.
It's a description, not a judgment. Unless, of course, you live in our fucked-up culture where the word's connotations outweigh (pun intended) its dictionary definition.
Let me say here and now that I had weight-loss surgery purely for health-related reasons. It's paid off, though in my view, one must be prepared to exchange one set of chronic health conditions for a possible other set, not necessarily known in advance.
But I did not do it to Be Thin, per se.
Do I think it's a bad idea to do it only to Be Thin? Um, yeah, I think I do. It's a pretty radical surgery and a pretty radical thing to do to your body.
Easy for you to say, someone thinks. You did it for your health, sure, but you also lost weight. You got to have your cake -- ahem -- and eat it, too.
Okay, if the same surgery had been available to correct my health conditions
but wouldn't have induced weight loss, would I have done it? Yes,
I would definitely have done a portion of it (namely, the gastric
reduction, or VSG that's often performed separately now on non-obese
patients to reverse Type II diabetes). I'm not sure that I would have
taken on the malabsorption component of the duodenal switch itself, as
that's where the later health problems usually come into play and what
helps maintain weight loss.
That's not to say that I'm not very happy to be a regular-sized person now. I am. Life in our culture is a hell of a lot easier on all fronts for average-sized people than it is for fat people. You can fit in public spaces more easily, you don't stand out, you don't get teased, you don't attract negative attention simply because of your weight, you find a greater and less expensive variety of clothes, blah, blah, blah. Every fat person out there knows the drill -- and every fat-phobic person does, too, because they're often one and the same, or the latter category is dishing it out to the former.
When I was fat, I did not hate the way I looked nor did I hate myself for being fat. I looked pretty nice most of the time. Note: I didn't say "fat but nice." I said "fat and nice". (I have a sister who's 14 years older than I who told me when I was a teenager, laughingly, "I'm glad you're porky -- otherwise I'd have to worry about you being prettier than I." She didn't actually mean to be unkind, and when you think about it, it reveals more about her own issues with weight than anything else. Fortunately, even at the time, I thought that that thinking was kind of fucked, though -- what did weight have to do with being pretty, for god's sake?)
One of the things that makes me simultaneously sad and uncomfortable in both weight-loss related blogs and online discussion forums is the degree to which some people (men and women both, but I'm more familiar with women) really hate their former fat selves. Sometimes the hatred is bone-deep, sometimes it's only skin-deep, but it is, in my view, really disturbing and debilitating. In such cases their weight is so connected to issues of self-esteem that it indicates something essential about themselves to themselves. Yes, that can happen in this culture. But not all fat people hate themselves or feel ugly as a result of their weight. It doesn't have to happen. It often doesn't happen. It didn't happen with me, though I won't pretend that society's negative stereotypes about fat people had no impact on me whatsoever.
Don't even get me started on compulsive reconstructive surgery (okay, I admit it: this post has turned into a bit of a rant -- and note that I said compulsive, not all). I'm a lot less narrow-minded about plastics than I used to be, having now watched formerly morbidly obese people deal with the medical and psychological issues that can accompany excess skin. I myself am even considering a muscle-tightening tummy tuck if I ever must have my abdominal hernia repaired (and the fact that I'd even consider one is pretty stunning to me right there). I think reconstructive surgery is up to the individual (note: not the surgeon, not the WLS practice, but the individual), and if folks have their heads screwed on right, I think it can be a really productive experience. If they don't, no amount of reconstruction in the world will touch their core issues.
Furthermore, surgery is no laughing matter. Reconstructive surgery is painful, from all accounts, and it's risky. That right there scares me!
But there's another issue that runs in the background for me, too, as I think about this topic. Do I want to erase every sign of my morbidly obese self? You know what? I don't. I really, really don't. Is that because, at my age (46), it would be impossible to do that anyway (i.e., there's only so much that plastic surgery can do with aging skin)? Honestly?
Maybe that does have something to do with it.
That is, since that past can't be totally erased by surgery, perhaps my choice is to embrace most of the ways in which the history of morbid obesity has been etched on my body -- as something of which I am not ashamed and by which I am not disgusted. The body bears witness to its own history. Not to assert the same burden of history or significance, but look at the way in which PTSD often manifests itself bodily in the survivors of childhood sexual abuse. Think about the choice of millions of Holocaust survivors to retain their Nazi-imposed tattoos after World War II.
This really happened. This experience is part of me. It's part of who I am -- for ill and for good.
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