DAY 115: Doctor! Doctor! Give me the news!

I’m not even sorry for getting that song in your head.

At the end of March, I went for my first doctor’s appointment in about 12 years.  I had already dropped about 15 pounds from my all-time heaviest weight in January, but this was obviously a drop in the bucket.  I had put off visiting a GP for so long because of the overwhelming embarrassment and shame I felt at going in there and having my weight read, not to mention what other bad news may have been revealed.  I was finally in the right mindset to go by then, though, and so my outward adult dragged my inner child in for a long-overdue check-up.

I spent the appointment fighting back tears while complaining of incredible stress, nerves, anxiety, fear, and sense of worthlessness.  I expressed to the doctor that I knew my weight was the main source of all of these things, even if there were additional external contributors.  She listened to everything I said, spoke with me as if she had all the time in the world, and provided support instead of lectures.  Even though I still had the expected sense of shame for being my size, it felt good to actually unload all of that on someone who didn’t have an emotional stake in it (and therefore wouldn’t tell me things weren’t that bad), but who could still be sympathetic and easy to talk to.  After the appointment, my doctor ordered a full blood panel for me.  Not surprisingly, my numbers could have been better.  My sugars were at pre-diabetic levels and my bad cholesterol was a little elevated.  Immediately after sharing this information with me, my doctor suggested I work on my weight as we had discussed, and come back and see her in July.

This morning was the follow-up appointment.  I have never, ever, ever, ever, in my entire life, smiled so much in a doctor’s office.  That includes when I was little and used to get pretzel rods and lollipops for getting those shots I was never afraid of.

First, the nurse took me back to take my blood pressure.  Then, it was scale time.  I guess she was using my previous weight as a starting point, because she moved the 50-pound weight into a category I haven’t been in in a while.  I almost told her that was too high, but figured it would be more fun to let her discover that on her own.  (I’m a smug little thing sometimes.)  Once the nurse notated my weight, we went back over to the exam table and she entered it into the computer, where she kind of froze in place.

“When you were here last time, we had you weighed in at XXX — is that RIGHT?!” she asked.

“Yup.” I said.

“GO ‘HEAD!” she exclaimed.  She continued about how hard I must be working, that I was doing great, and keep up the good work.  That was pretty cool.

Then, I was in the exam room alone and waiting for the doctor.  Usually, I check my phone or read something while I’m waiting around, but this time, I just kept staring at things around the room.  My hands.  The extra expanse of lap I could see on the exam table compared to the last time I was there.  The scale weights, which the nurse had left in place, reflecting my weight loss over the last 3.5 months.  My reflection in the metal paper towel holder.

When my doctor came in, she greeted me, asked how I was doing, and whether I was experiencing any new pain since our last visit — she was in the process of pulling up my file on the computer screen as I answered her questions.  Suddenly, she furrowed her brow and stared very seriously at the computer screen.  Then, she murmured, “Wait…” and inched her face closer to the screen.  I was actually worried, and said, “Oh no, what’s wrong?!”  The doctor’s face immediately broke into a huge grin as she looked at me and asked, “Have you lost fifty-one pounds since your first visit?!”

The woman did not stop smiling the rest of the time she was in the room.  Before she’d come in to see me, the nurse had told her I’d lost weight, and she was expecting it to be 10, maybe 15 pounds.  She kept repeating how proud she was of me, how impressed she was, how I had made her day, how I was doing this the right way.  She wanted to know what I was doing, if everything felt right while I was moving, what I was eating, how often I was working out, if all of the weight loss was intentional, how my anxiety and stress were, and how I felt overall.  She kept nodding and smiling throughout the conversation.  She asked what my goal weight was and approved of it.  When we came to the point of the conversation about the purpose of this doctor’s visit, and she realized it was for follow-up blood work, she scoffed out loud and said, “Well, you’re not gonna be pre-diabetic now.”  She said we could skip the blood draw unless I wanted to do it, and I said I actually did want to see the change in numbers, and she was even excited about THAT.  At some point, she mentioned that their office is going to move to a big building where they’ll have a training center, a demonstration kitchen, seminars, support groups, etc., and said she would want to bring me around as show and tell for all her patients who insist they’re doing everything they can to lose weight, but she knows they’re not because “the numbers don’t lie.”  She high-fived me early in the visit and hugged me at the end.  It was like getting a report card full of As and being so excited to go home and hang it on the fridge tattoo it on my forehead.  She wants to see me again in 6 months to see how I’m progressing.  As soon as she finished saying that, she added in through her plastered-on smile, “I probably won’t even recognize you by then!”

The nurse who first escorted me to the exam room came back after the doctor left to do my blood work.  I’ll have the results in 2-3 days.  Even if the numbers aren’t in normal ranges or better, I will still be flying high from how fantastically that appointment went.  I’ve had a spring in my step all day.

Guys, I know that a lot of the time, my posts sound really confident, positive, and dangerously close to obnoxious with self-congratulation.  I’m sure it gets irritating, so I feel the need to explain that there’s a reason I let myself go on like that, and it’s beyond the simple “because it’s how I feel.”  It’s because I haven’t always felt this way, and as I continue along my mission, the positive emotions may stop or become harder to reach.  I’m allowing myself to talk to death about how accomplished and successful I feel for that girl in the doctor’s exam room 3½ months ago whose self-doubt and self-abandonment landed her there in the first place.  I’m also doing it for the girl 3½ months from now whose weight is taking longer to come off and who is tired of working so hard all the time.  I have to honor the past version of myself to keep me going in the present, and I have to bank my triumphs in the present to keep me going in the future.

Thanks for letting me do that.

DAY 107: Taking the good with the less good

You know those times where you catch your reflection in the mirror and think, “Hmm — I look thinner today!” and wonder if it’s true?  They are a precious thing.  They happen so rarely for me that I can remember each isolated incident.  I never weigh myself those days because the scale may not validate my observation, and I’d rather cling to my illusions.  (I know, I know, measurements and shit, but am I gonna bust out the tape measure every time I feel thinner?  No.  I am lazy.  I am also the world’s most inept measurer.  Every month when I take my inches, they’re barely different from the last time, yet I have cycled through 3 pants sizes [and counting!] since I started this mission.  Riddle me that.  And count your blessings I’m not building America’s bridges.)

That long-winded intro was a means of announcing that I had one of those I-look-thinner moments this morning.  I decided to wear a shirt I bought 2 months ago that was already starting to fit loosely, because it’s a shirt I really like and I may not be able to wear it much longer before it starts to hang and look silly.  Sure enough, it was a little roomier on me today, so I’m gonna have to start its farewell tour.

In the middle of the day as I was walking through the office, someone walking past me stopped in her tracks and said, “GIRL!  You are looking SLIM!”  I smiled and said thank you, and she asked, “So, are you doing it?” (her tone implied “Are you going for it??  The long haul?  The THINNESS?!”)  I responded, “Hell yeah, I’m doing it!”  Cuz, well… I’m doing it.  She said, “Yes, get it!”

That’s person #4.  🙂

The end of the day was a little les of a yippee moment.

Yesterday afternoon, I noticed a weird popping sensation in my foot with every step.  It didn’t hurt, just felt weird, and has never happened before.  For some reason, medical health professionals love me, so my podiatrist’s office got me onto the doctor’s schedule today.  Long story short, they did some x-rays and found that I have a little bone spur on my heel.  It’s not debilitating, and it’s not even painful, just something I’m very aware of when I move.  The doctor said if it didn’t hurt, we shouldn’t worry about it, but to make a follow-up in 2 weeks if there are any changes and we will try a cortisol shot.  I had sort of suspected that it was a bone spur from what I knew about them, and as an (almost formerly!) obese chick who all of a sudden started spending a lot of time on her feet, it’s not unusual that I would end up with one.  My doctor thinks it’s likely to go away on its own, and he said there’s no need to change anything I’m doing, so at least I can keep doing my usual work-outs and getting in my daily steps.  I’m so relieved about that.  I think if I had been advised to stay off of it or anything, I would have had a minor panic.  I hope it goes away soon, though.  It’s uncomfortable and just annoying.

Anyway, I have 2 Diet Bet weigh-ins coming up later this month, so I’m taking the good with the less good and continuing to work towards knocking off those goals.  Here’s hoping I can quickly heal my heel!

DAY 93: My villain beard

Now, if we’re talkin’ body, I’ve got an imperfect one.  Still, so far on this voyage down the scale, I’ve noticed a few changes in certain parts of it.  I can see the bones in my hands now.  I don’t have to contort myself to hit THE angle that hides my face fat in pictures.  My arms are slimming down.  My back — yes, my back, of all things — is getting super toned.  (And yes, I check this in mirrors.)  And I can’t really see it, but something is happening in the waist/hips area, because my underwear sag and my pants hang or fall off altogether.  But the most satisfying, captivating, exciting change so far?  My clavicles are back.

Yeah, that sounds super crazy, but there it is.  I am so excited to see the presence of bones between my shoulders, you’d think I’d just been told I’d be paid to sit around and breathe.  It gets even weirder, too:  I keep catching myself touching them.  It doesn’t matter if I’m completely alone or in the middle of a conversation with another person who can see me, I am CONSTANTLY running my fingers over my clavicles.  They’ve basically become my villain beard.  “Hmm…” she thought, stroking her newly prominent bones, “if I stop doing this with one of my hands, how long will it take me to blog about the fact that I do this now?”  **evil laugh**

Appropriately, the third person has officially noticed and said something to me this morning (probably mid-clavicle rub).  It was a co-worker of mine.  She kind of stood in the doorway of my office, seeming a little hesitant, and then finally blurted out, “Have you lost weight?”  And I said, “Yes.” She followed up with, “Like… 40 pounds?”  I smiled, probably touched my clavicles, and said, “Maybe a little more.”

Damn, it feels good to be a gangsta.