Health update

I have decided that the regular diet updates were as boring as hell. I don’t want to ditch them entirely but I want to change the focus. I think my overall health is more important than my weight. And I’m sick of this blog getting followed by diet and weight-loss blogs.

Some of you will be thinking ‘I bet that means she’s put on weight again’ but no. Actually I’ve lost half a kilo which is just over a pound so my total weight loss is now just over 15kg (33 pounds). I don’t know how. I’ve not been sticking to the strict eating plan and I’ve hardly been wearing my compression tights so I don’t think it’s all fluid. All I can say is that my body continues to be a mystery.

No news on the replacement compression hosiery. I hope they’re going to arrive soon but it’s possible that they’ve been doubly delayed by the weather. Either that or the manufacturer has lost the order again. Not much going on with exercise because of the fibromyalgia flare up that caused the horrible back spasms. My back pain might be easing off but it’s too early to be sure. It could just be lulling me into a false sense of security.

In mental health news I’m doing an excellent job of seeming ok but I’m having serious executive function problems so I know that something is not right. Or maybe it’s just the same thing that’s never been right and I’m just less tolerant of it than usual.

In creative news I’ve got some excellent ideas for the sequels to the completed novel that I was querying and to the novel I’m finishing off. Sequels are great in theory but if I don’t get those novels published then they’re just more wasted effort.

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2018 Diet Update 4

Before I begin my update I have a message for the various diet and weight loss blogs that keep liking these posts and following this blog. Please stop. This blog is not for you. I regard the entire weight loss industry as predatory. Fat people are not necessarily unhealthy. A person’s size has nothing to do with their value as a human being. 95% of all diets fail and the 5% that succeed only do so by the most meagre definition of success.

I’m not dieting out of any hope that my life will improve or that I will look better or feel better. I’m dieting to prove my doctor wrong. I’m dieting because that’s a thing I have to do if I eventually want to get surgery for my lipoedema. And I don’t have to like it. In fact I hate it. It makes my life so much harder than it needs to be and my life was already pretty fucking hard.

And now we continue with our regularly scheduled update. This week I lost 0.2kg (200g or less than half a pound). That doesn’t seem statistically significant to me. On the other hand it’s not weight gain so I’m not complaining. I had to take a break from my push to 100 squats because my knee objected.

I also had an appointment with the Lymphoedema Nurse to check on my compression tights. She’s suggested replacement compression garments with lower level compression and in a different design. The hope is that they’ll be easier to get on and that I’ll be able to wear them all day.

It’s not the pain that’s the worst it’s the rage

Every day the first thing that I do is to fight with my compression tights. And also my self image and my failing body. I say it’s the first thing but really the first thing I do is to wake up and curse the fact that I am awake and alive and that my life is still like this. Then I muster my limited mental resources for the act of will necessary to get out of bed. Then I fight.

It makes me so fucking angry. Getting up every day to fight a losing battle against the Lipoedema that will eventually turn me into a blob in a wheelchair. Being faced with the reality that I’m not strong enough to get my fucking tights on properly. Knowing that if I can’t master compression garments I won’t even get on the waiting list for the surgery that is the only lasting treatment.

Spending the next hour with weak arms and shaking hands because I’m not getting any better at this. Unable to go anywhere because I can’t get the tights to stay up while I’m walking. Fighting the urge to stab myself. To hack at the useless, lumpy flesh that’s destroying my joints.

And then I spend the rest of the day surrounded by the evidence of the chores that I can’t do because I’m too exhausted from my battle.

I’m trying to get better. I diet even though I hate it and I know it won’t fix the lipoedema. I try to exercise even though that hurts and so far actually seems to be making things worse. I’ve been trying the 100 squat challenge. It took me 3 days to get up to 100 squats but I haven’t managed it since because my right knee hurts too much. The knee pain woke me up this morning.

And the absolute worst is the feeling that it’s all worthless. What’s the point of all this fighting? All it does it makes me angry and tired. I’m giving up the ability to get stuff done now for the chance to be able to do more in the future. But that’s just not going to happen. I don’t get that lucky. This fight is doomed to failure and by fighting I’m making everything worse right now.

 

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2018 Diet Update 3

This week I lost 1.3kg (just over 2 and a half pounds). My total weight loss is now 14.4 kg (31.6 pounds or 2 stone, 3.6 lbs). After experimenting with the positioning of my scales I can be fairly sure this is genuine weight loss but of course much of this week’s total will be down to fluid being forced out of my legs by my compression tights.

Wearing my compression tights continues to be a massive pain in the arse. And everywhere else. Just getting them on uses most of my spoons meaning that I don’t have much left over for chores or writing or working on the thing I’m crocheting for my daughter’s birthday. Or even for reading the book I’m reviewing.

More and more I’m questioning why I’m even on this fucking diet. Let us not forget that calorie restriction is not a treatment for lipoedema, that my value is not inversely proportional to my size, and that no level of weight loss is going to magically render me decorative enough to be societally acceptable. I only got on this damn treadmill because weight loss is a hoop that I have to jump through in order to access the treatments that actually do work.

I am trying to commit to more exercise. Not to lose weight but because I want to be stronger. I’m thinking of taking on a 100 squat 30 day challenge. The idea is to work up to 100 squats a day (any kind of squat counts) and then keep it up for 30 days. I have no idea if this is a good idea but I do think it’s important to have goals.

My problem with body positivity

Strictly speaking I have two problems with body positivity. One is definitely my problem. I think the other is a problem with the movement.

Let’s talk about my problem first. I’d rather own my problems before I go pointing out other people’s. My problem is that I find that I cannot love my body. At best we exist in a state of détente but most of the time we are at war. I hate how it looks. I hate that it’s never comfortable and that I am never comfortable in it. I hate the constant negotiations to get it to do anything. Most of all I hate how limited that anything is.

I want to be strong. I want to exercise. I want to go for long walks. But I can’t lift weights today because I put my compression tights on and apparently that’s me done for the day. As I write this my hands are still shaking just from the effort of getting dressed. How dare they.

And this, of course, creates a secondary problem. Because people keep telling me that I should love my body and I just can’t I feel like I’m letting the side down. Not only am I failing in my patriarchal duty to be decorative I’m failing in my feminist duty to love myself. I’ve failed to be thin and now I’m doing fat wrong.

Now let’s talk about my problem with the body positivity movement, and specifically the ‘healthy at any size’ part of the movement.

Because some of us are not healthy. Some of us are fat because we’re sick. Some of us are fat and sick with no causal link. And then there are people like me. People with lipoedema and similar disorders. People with dysfunctional fat cells that we can’t get rid of. We’re not sick because we’re fat, it’s the fat that’s sick.

I’ve written before about lipoedema. It affects up to 11% of women and post pubescent girls. It’s triggered by hormonal changes. It’s progressive. In many cases, and I am one of them, it is painful and debilitating. Our bodies lay down dysfunctional fat cells that don’t work as an energy store. These cells hang around in the wrong places, trapping fluid, putting pressure on our joints, and causing pain.

Before anyone slides into my comments to tell me that I just need to eat less and move around more my anorexic thirteen-year-old self would like to have a word with you. And she’s carrying a cricket bat. I’d run if I were you. No, faster than that. She’s spent the last 4 years running from people throwing rocks at her head so she’s a lot faster than me. No don’t stop for a rest she’s got plenty of stamina. Try to find some flowers. If she gets a lungful of pollen she might have to stop for an asthma attack.

But back to body positivity and my problem with it. I feel stuck. The lipoedema support groups are full of internalized fatphobia and people whining about how they should be immune from societal fatphobia without ever questioning that it should exist. The body positivity groups erase my experience of being disabled and fat. The insistence that fat women are hot just reinforces the patriarchal assumption that whatever else a woman is she must also be decorative. What if I don’t want to be decorative? What if I want to be a dapper androgynous badass?

Can’t I want to get rid of my dysfunctional fat while at the same time supporting your right to look however you want to look? Can’t we all agree that how people feel about how a person looks has nothing to do with their value as a human being? I just want to be in the world without the feeling that either I have to cut parts of myself off or excavate a me-shaped hole in order to fit in.

2018 Diet Update 2

This week I have either lost 2kg, gained 2 kg or stayed the same depending on exactly where I put the scales and how I stand on them. Clearly I’m going to have to pay much more attention to their exact position on the floor in order to get any idea of the actual trend.

I’m not happy with my eating this week but it was better than the last week. Hopefully next week will be better.

This week has been one long round of the period from hell, struggling with compression tights and attempting to schedule my days so that I get anything done. It’s been two steps forward and three steps back. I still can’t wear my compression tights out anywhere because I can’t get them on properly and that means they just slide down the moment I try to walk anywhere.

Putting the tights on is so exhausting that I’ve only managed one workout this week. I can’t exercise with them on, I have to prioritise wearing them and when I have to take them off I’ve got nothing left for lifting weights. I really hope I get better at this.

2018 Diet Update 1

I have lost 1.3kg ( just over 2 and a half pounds). I’m sure some of that is fluid because I had one day of wearing compression tights before the weigh-in.

I haven’t been paying that much attention to the calories but I have been careful about my food choices, particularly around the proportion of carbohydrates. I’m not happy with my eating yet. I’m not tracking my food carefully enough and I doubt that I’ll be able to keep on losing weight like this.

I’ve talked before about how important preparation is to sticking to a food plan. If you don’t get the shopping right then you’re setting yourself up to fail. This week we did get the shopping right but having the right food in the house is not enough on its own. My head isn’t in quite the right place for sticking to this diet and I’m not sure what’s wrong.

Maybe the problem is that I’ve been so angry for the last few weeks. Women are often socialised to eat our feelings and anger is probably the least acceptable emotion for women to express. Or maybe the problem is that everything just feels futile at the moment.

Adventures in medicinal hosiery

On Saturday my compression tights finally arrived so I can finally begin to manage my lipoedema. I read the instructions carefully but I didn’t put them on because I was already dressed and frankly, the instructions scared me.

On Sunday I tried them on. It was torture. The fabric is so rough and requires so much force to pull into position that I developed a blister on one knuckle and tore the skin red raw on all the others.

My arms were shaking. The tights weren’t pulled on properly. My legs were on fire and I was filled with an irrational rage caused by a combination of exertion and body dysmorphia. I felt useless and weak. I decided that maybe I was doing something wrong, even though I had read the instructions and done my best to follow them. I was only able to wear the tights for an hour and a half because I couldn’t get them back on after using the toilet.

I asked for advice in one of the Facebook support groups for lipoedema. It turns out you’re supposed to use gloves. There are even special donning gloves made for the job (though most of the members use either disposable latex gloves, rubber washing up gloves, or gardening gloves). How is it that I didn’t know that? If it’s well known that this kind of compression garment will tear your skin off and there are gloves made for the job why didn’t anyone tell me that?

Today I tried to put them on again with mixed success. I used some disposable vinyl gloves that we had in the house and I tried lying down to get them above the knees. As I result I’m typing this while wearing the tights (though they’re still not on properly) but I’m also wearing a lot of plasters because I tore the blister right off and added four new blisters and that was with the gloves on. I think I might have blisters coming up on two of my fingertips. I’ve ordered better gloves and finger tape.

You know how I often complain that my life is unreasonably difficult, that there are always more steps between me and where I want to be than there should be? This is that. This is just another example of the endless multiplication of obstacles between me and any goal.

Another not diet update

Still not back on the diet but I do have a food delivery planned so by the time you read this I should be thoroughly miserable and craving bread. I did weigh myself this week and I’d lost 0.6kg which is just over a pound. It’s bound to be fluid rather than fat though.

Still no sign of the NHS compression garments but I’ve been using the compression leggings that I bought for exercising in. They’re more comfortable than I was expecting. I went for a walk today and it was a lot easier than I was expecting. I think the leggings might be helping to stabilize my knee joints.

I have been strength training but I’m so out of shape that I’m still concentrating on form rather than adding resistance. I think it’s a bad idea to lift heavy with poor form. I’m also trying to build a habit of exercise. If exercising feels natural to me then I’m more likely to do it. I think at this stage that’s more important than pushing myself.

Not a diet update

Because I am not back on the diet yet. I did weigh myself as usual and I have gained 1.3kg (2.8 pounds). Some of it will be fluid but some of it is bound to be fat.

I’m not on the diet because I have failed at step one of any good eating plan. The shopping. If you don’t have enough of the right food in the house then you end up eating the wrong food or the right foods in the wrong combinations.

I can’t fix the shopping problem because we are too broke this week. It will be at least a week and a half before I can stock up on the right foods.

My visit to the nurse this week also ended in failure. I don’t have the compression garments I need for my lipoedema because the manufacturer didn’t make them. There is clearly some whole big thing going on there but I can’t work out what it is and I find it hilarious that mine was the only order that didn’t get made.

I ordered some compression leggings from a company that makes gym wear and I’m wearing them right now. They’re comfortable enough and I can do my weight training in them. They even look ok, though obviously not on me. Now I just have to work out how to stop feeling guilty for spending money on them.