Diet Update 3

This week I weighed myself for the second time and my weight was down by 3.5 kg (just under 8lbs for Americans and just over half a stone for Brits). That’s not bad. You always lose more in the first week of any diet and the effect is particularly strong with low carb diets. I probably haven’t lost 3.5 kg of fat. I estimate that 3 kg of that is fluid.

The eating has been fine. I’ve been sticking to my plan and my calorie intake has been under the target every single day, well under on most days. More importantly I think I’ve been fine on the carb targets too. The only thing that’s worrying me about the food side of it is money. If I mess up on the shopping and planning side I’ll be in trouble. There really aren’t many cheap sources of protein. If I run out of food and mostly run out of money I’ll have to fall back on things that are high in carbohydrates and just not satisfying.

Now before anyone starts congratulating me please remember that this weight-loss is still meaningless. You might hear people, even doctors, say “Any weight-loss is good,” but this simply isn’t true. When I weighed myself the first time I was 23 kg lighter than I was at my heaviest (that’s 50lbs for Americans and three and a half stone for Brits). That weight-loss was real and I’ve sustained it for years but it doesn’t count because I’m still fat.

For me dieting is and always has been a hole with no bottom. It’s never going to be enough. It’s never going to fix the problem I have with the mirror. It’s never going to fix the things that are wrong with my body. Dieting is a means without an end.

Links to the previous updates: Update 1. Update 2

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Diet Update 2

I’ve been on the diet for several days now and it’s been interesting. I’ve been using Myfitnesspal to track my food intake. Since I’m on a low carb diet I’ve mainly been paying attention to carbs but the app also tracks my calorie intake (although it’s actually tracking Kilojoules because I set it up wrong) and I’ve been well under every day.

The problem with the induction phase of a low carb diet is that it does tend to make you grumpy. And by grumpy I mean likely to fly into a murderous rage with very little warning. It also takes a while to get into the habit of it. You spend a lot of time staring into the fridge wondering what you can eat and then end up just nibbling on cheese.

I still don’t have functioning scales but my Mother-in-law has offered to give me a new set for my birthday. That means I’ll be able to tell how much weight I’m not losing. I jest. I probably will lose some weight. It’s just depressing to know that it will never be enough.

And that’s the real reason that I’m so pissed off about going on this diet. No matter how hard I try, no matter how much weight I lose I already know that it’s not going to be enough. The Lipoedema means that while I might get thinner I’ll never be thin enough for society. The hangover from my youthful dalliance with anorexia means that I’ll never be satisfied with what I see in the mirror. The additional weight from the Lipoedema fat cells and all the fluid they trap means that there’s no point even asking about knee replacement surgery. It’s highly unlikely that my weight loss will do anything to fix any of my underlying problems.

This diet is just me torturing myself in the hope that if I can stand the torture long enough my doctor might take me seriously.

link to Diet Update 1

My life as a terrible joke

The best evidence I’ve seen for the simulation hypothesis is that my life only makes sense if I exist for the amusement of some cruel and distant intelligence.

I had a doctor’s appointment this week in an effort to get something done about my lipoedema. This is a disorder that affects 11% of women and post pubescent girls. It means that my body lays down dysfunctional fat cells in my legs and upper arms (and possibly bum, hips and lower abdomen). These fat cells are unaffected by diet. They can’t be shifted by anything short of surgery. The fat cells also trap fluid leading to secondary lymphoedema which makes my legs even more swollen. There’s no cure but the progression can be slowed by compression garments and partially reversed by liposuction.

It’s usually triggered by hormonal changes. In my case it started at puberty and got much worse after childbirth. That means that it’s been undiagnosed and untreated for more than 30 years. For all that time I’ve been blaming myself for a weight problem that was in large part outside my control. According to the NHS website calorie restriction is not a treatment for lipoedema (according to most experts it’s not even a good treatment for obesity).

You’d think it would be simple. Get a diagnosis, get referred to a specialist, get fitted for compression garments and get on the waiting list for surgery?

Ha. You must be new here. I can’t get an official diagnosis because there are no specialists in Fife or Lothian. There may be no experts in Scotland. I can’t get fitted for compression garments because the off the peg ones don’t come in large enough sizes and the nurse says the doctor needs to measure me for the made to measure ones and the doctor says she doesn’t do that and I probably shouldn’t get them without first getting a Doppler test to prove my circulation is good enough but the Doppler sleeves won’t fit over my legs.

Did you get all that? I can’t get treatment for the condition that causes hugely distended limbs because my limbs are too distended.

And I can’t get surgery because it’s not available on the NHS because liposuction is a cosmetic procedure.

So my only option is going back to calorie restriction and hoping that there’s enough healthy fat in my legs that removing it will somehow make a difference. So I’m going back to a treatment that has a 95% failure rate for the thing it’s actually supposed to treat and doesn’t work at all on the problem I want treated. And it’s only taken 4 doctor appointments and 2 nurse appointments to find this out.

I suppose if I lose enough weight that my face, hands and feet become noticeably emaciated then maybe I’ll be able to get a doctor to take the problem seriously. Maybe I’ll be able to starve myself into organ failure while still being clinically obese. I might even get mentioned in the medical literature. Fame at last.

I can deal with the pain it’s the frustration that really hurts.

So the CBD oil that I’ve been talking about in previous posts here and here is definitely working.

My background levels of pain have greatly reduced and it’s now easier to deal with breakthrough pain. However my right knee has clearly decided to be a horrible bitch about things. It’s swollen and it’s grinding and it won’t reliably bend and it hurts whenever I do foolish things like stand up or sit down or roll over in bed.

And something else has decided to flare up. Something really painful. Something that I really need to see a doctor about but I was too late this morning to get an appointment and I have stuff to do tomorrow that can’t be moved and if I leave it till Friday to see the doctor then I will have reached my own personal defcon 10 of pain.

That’s not 10 out of 10 on the pain scale. That level of pain is just screaming until it stops. Defcon 10 is out of my mind with pain, distraction and frustration. It’s a result of having to just put up with a level and type and location of pain that no-one should have to put up with. Defcon 10 is dangerous because it makes me want to knife 40 people at random. Hopefully the CBD oil will help with this kind of pain.

If anyone is interested I will post links to the kind of vape pen, cartridges and oil I’m using.

Updates: pain, writing, pitching, querying

Keeping you all up to date on the things that I’m doing.

Pain

I’m continuing to experiment with vaping CBD oil for pain management. I’ve had two problems. The disposable vape pen I was using started to leak and I’ve had a major pain flare up.

Fortunately CBDlife* dealt with my complaint in a speedy fashion. I was going to buy a reusable vape pen anyway and they offered me a free oil cartridge as a replacement for the leaking pen and delivered the order the next day.

The pain flare up is a semi-regular thing where I get a muscle spasm in my upper back or neck that spreads to my arm (usually the left one). It’s horrifically painful and requires several days of painkillers, exercise and not using my arm for anything other than the special exercises. The CBD oil does seem to be helping with the pain so that’s something.

Writing

I’ve been working on one of the sequels to the novel I’ve been querying. I’ve now finished draft 1.5 and I’m going back and writing the extra scenes that I’ve realised I need. I reckon I have maybe 20,000 words of extra scenes plus one entirely new character that needs to be added.

Pitching

My friend,Vanessa Robertson, has persuaded me to enter the pitch perfect competition at Bloody Scotland. I’ve been working on a 100 word pitch for the ‘finished’** novel. There’s a part of me that thinks it’s a bad idea because I can’t stick to a single genre and Bloody Scotland is for crime writing. She pointed out that I have nothing to lose and that my novel does have crime in it.

Querying

Querying has stalled because most agents are on holiday. However I do have my sights on two agents that I intend to query in the autumn. Both are as a result of personal recommendations.

I also recently got some idea of how steep the mountain ahead of me is. Vanessa was recently offered representation by an agent and she told me what the numbers are like. In a single year her agent will receive thousands but take on only a handful of new clients.

Can someone remind me why I ever thought writing was a good idea?

 

*If you use that link to buy stuff I will get a percentage back as store credit. 

**I’ve decided to start calling the novel ‘finished’ because it can’t really be finished until it’s ready to be published. It’s currently as finished as I can get it without help from someone who knows more about editing than me.

My country wants me dead. Again.

At the last election I was faced with the realisation that the electorate of the United Kingdom either actively wants me dead or at least doesn’t care if I die. It was a sobering realisation.

This time it is, if anything, worse. Because now it’s not just the United Kingdom. Many of my fellow Scots want me dead. Why?

Seriously, Scottish Conservative voters, why do you want me and people like me dead? You’ve voted for a party that has cut disability benefits, attacked the NHS, cut Social Care spending and refused to condemn the forced institutionalisation of disabled people. People are dying. People have died. And if, as seems likely, the Tories cling on to power then more people will die.

If you voted Conservative in this election then you voted in favour of turfing out law abiding EU citizens, you voted in favour of the rape clause, you voted in favour of taking mobility cars from disabled people, cutting benefits to the mentally ill and to people with learning difficulties. You voted in favour of benefit sanctions that drive vulnerable people to food banks where they can hang out with nurses and police officers. You voted against the NHS. You voted in favour of fox hunting and selling ivory and cosying up to Donald Fucking Trump.

If you voted Conservative then why? What was it that you thought you were voting for?

Of course if it’s Scottish Conservative MPs that return the Conservative party to power against the will of the English electorate I am going to laugh for about a week. Particularly since the EVEL legislation, pushed through by the Conservatives in the wake of the independence referendum, means that they wont be able to vote on a lot of bills.

Perspective shift

Last year I was diagnosed with lymphoedema. At the time it just seemed like yet another thing wrong with me. I almost asked the Doctor why he bothered telling me since it’s just another thing that I can’t fix. I did some research and found that it was either genetic or caused by being fat and while I was suspicious that it might be genetic it seemed more likely that it was caused by being fat. So not only did I have a new thing wrong with me that I couldn’t fix but it was probably my fault.

Today I found out that my research was wrong. My lymphoedema would appear to be caused by Lipoedema. It makes sense of a lot of things. It explains the leg pains I’ve had for years, the way my legs were huge but my feet didn’t have any fat on them, and especially the time I lost more than 8 stone (119 lbs or 54 kg to be exact) and saw little change in my legs – my body was 8 dress sizes smaller than my legs.

Now I was only able to lose 8 stone because I did get really fat. But not until after I tried anorexia for a while. I had fat legs when I was anorexic too. I don’t mean imaginary fat legs. I mean the last day I was actively anorexic I was 13 years old and I was wearing a t-shirt sized for a 11-year-old girl and size 10 women’s trousers which only just fitted over my knees and thighs but fell off without a belt.

When I stopped restricting my food intake my disordered eating snapped back in the other direction and I took up binge eating. Which didn’t help my legs or my already fragile self esteem. Every time I tried to change my eating habits I found that I couldn’t keep it up. The anorexia had left me unable to see any positive change in the mirror and the lipoedema meant that I wasn’t getting much positive feedback from my clothes.

I used to describe my teenaged self as fat and depressed. But maybe I was just an average girl with undiagnosed lipoedema and ADHD. I spent my childhood and teen years feeling stupid and worthless and deformed and it’s cast a long shadow over the rest of my life. What would I have been like if we’d known what was wrong?

The thought of it makes me feel queasy. I can’t think properly because of the unfamiliar sound of some part of my mind repeating “It wasn’t your fault. None of it was your fault.” It feels weird. I tend to assume that everything is my fault.