Weighty Matters

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Life Changes

I had dinner last night with a dear, long time friend whom I haven’t seen since June. My body’s changed a lot since then.

Over our meal, she asked me about how my life has changed because of my weight loss surgery and transformation so far. It’s one thing for me to say how much better I feel physically and emotionally. I can talk about the increased physical ease and the reduction in aches, pains, exhausting effort.

But last night, I was struck by something even deeper when talking about the amazing positive changes. I asked her to imagine what it would be like to always, almost constantly, be hyper-aware of body size. To think about having to make continual assessments about almost everything. Would a chair hold my weight? Would the car I rented have a seat belt long enough to go around me if I was wearing a coat or jacket? Could I fit in the space between two tables in a restaurant? Would I be able to keep up with my friends when we went somewhere? If I fell and hurt myself at home, could I get up? Would I fit in a chair? How long would it be before my right knee gave ou completely? What did people think when they saw me struggle to go up stairs? Think about trying to disguise the effects of simple exertion on my breathing.

Think about constantly having your brain and feelings dealing with such a barrage of questions and assessments for decades.

Then think about not experiencing any of that any more, ever again.

The reduction of stress and pressure has been enormous, like I was caught between a boulder and a granite shelf and then suddenly freed.

In addition to my body feeling better, my mind is just so much more relaxed and at ease. It’s amazing.

Over the last two years at work, I feel like I’ve stepped up my game. I was never a slacker and always was a productive, efficient, even dynamic asset. (That’s not bragging. My boss would say the same.) However, I can look back and see where I’ve grown, matured, and developed into even more of a leader. You’ve heard the expression about all ships rise with the tide? There were also other things at play, but when the opportunities to grow and develop opened up, I was better able to step up and grow with them. I don’t know if this would have happened if I’d still had all of the other horrible mind clutter getting in my way.

Stress is a killer. It creates tension, contributes to poor health, triggers adverse body chemical reactions. The reduction of all of that stressful thinking, has lightened my spirit like losing pounds has lightened my body.

Change is good. The life changes I’ve experienced and continue to see are great.

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Getting Over the Sulk

Yes, I’ve been sulking ever since last Friday’s appointment with my weight loss surgeon. I’m a grown up, even if sometimes I give into slightly less mature behavior like sulking. At least today I’m willing to own it. I’m also setting a time limit on it. A week is more than long enough. So, the sulk indulgence ends as of now.

I have no further time nor energy to give to it. I have places to go, holidays to enjoy, workouts to continue and weight to lose. Is it possible to shift one’s attitude this quickly? Yes. It’s a matter of mind over emotions. I’m not going to invalidate the way that I’ve been feeling. As far as I’m concerned, I had a right to it, but I also know when I’m on the verge of tipping over into useless, even damaging, wallowing. When I rebel by eating inappropriately, I’m hurting myself. That is unacceptable. Not only will it hurt me in my weight loss efforts and affect my body, but I’ll begin to emotionally feel lousy. So, it’s time to shake it off and move forward.

I’m really looking forward to the holiday week in which I plan to see many family members and friends. Most of the planned get-togethers will include meals. For once, I’m not looking at these events as license to eat anything, everything, and as much as I want. I’m looking forward to the social aspects and the company and to eating good tasting food in appropriate amounts and balance. Food isn’t the focus. That’s what I need to remember.

For a full week I’ll be out of my regular routine. I’m a little concerned about keeping up with my 10,000 steps a day since getting around to see everyone will involve driving a lot. However, I can and will suggest some walks and will definitely have opportunities to pop in one of my workout DVDs. I think I’ll look forward to the challenge of keeping up with exercise along with everything else. That too I can embrace and enjoy figuring out a strategy.

I’m over the sulk. There are good times with people I love in my immediate future.

I may not blog as regularly, but I promise to do so as often as I can. In the meantime, I want you all to know that I wish you all the very best this holiday season. May love, joy, and peace be yours. Thank you for being part of my blog, my journey, and my life.

Holiday Card 2013

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Losing My Doctor

No, I’m not firing the bariatric surgeon who suggested I cut my calories back by 25% to get me through this weight loss plateau. I’m talking about my primary care physician. She’s leaving the area so today was my last appointment with her.

I’m so bummed. I’ve loved her being my doctor and adore her as a person. She’s the first primary care doctor with whom I’ve ever felt truly comfortable, no matter where I was with my weight. Dr. S. always has a caring, compassionate, willing to listen and spend time attitude. She could be up front with me about my super obesity without being judgmental and harsh. Never once did she make me feel like a useless idiot for not losing weight. She also was never one to jump to medications without discussing other treatment possibilities. I hate just throwing drugs at a problem. Bonus about Dr. S. is that she’d do my pap tests which meant I didn’t have to consult a separate gynecologist. This was a big convenience here in the Florida Keys. The closest gynecologists are an hour away from where I live.

Two plus years ago, when I came to her and asked her to help me with my plan to have bariatric surgery, she recommended the surgeon that I eventually chose. She’d worked with him previously with some of her other patients. (I might be disagreeing with him now but he really was a great surgeon for me.) We talked over so many things after my first consult with him. She helped me get set up with all of the evaluations that I needed. She offered me caring and support the whole way. Every time I’ve seen her since, she’s continued to be loving, compassionate and supportive. I was blessed to have her in my corner as my primary care doctor through the weight loss surgery journey.

I care about Dr. S. as a person. I’m really happy for her that she’s making this move and will live close to her daughter, granddaughters, and other family members. I’m just sad for me because I’ll have to find another primary care physician. For right now, I’m transferring my records and care over to the doctor with whom she shares an office. I saw him twice a couple of years ago. He’s primarily a cardiologist, so I went to him when I needed the cardiac evaluation prior to my weight loss surgery.

Down here specialists also frequently do primary care. It’s not like we’re a hugely populated metropolis with plenty of patients around for specialists. Since I had my annual physical today, I don’t actually need to see the new doctor until a year from now, unless I get sick and need something more current. I’m also not up for any major diagnostic tests. So all should be good. I’m sure that the new doctor and I will do fine together, particularly if I only need to see him once a year.

Other than the sadness over Dr. S. leaving, my appointment and physical went well. My blood labs are terrific! I have been off my blood sugar and high cholesterol medications since my weight loss surgery. I’ve now also been off the two meds I took for my high blood pressure for a year. My blood pressure was actually a little on the low side this morning. My fasting glucose was 80 and hemoglobin A1C level was also in the normal range so I no longer show any indication of Type 2 diabetes. The different cholesterol and triglyceride numbers are in the desirable ranges too. Yes, the co-morbidities continue to be resolved thanks to the weight loss and improved fitness. Booyah to the nth degree!

Dr. S. and I discussed the surgeon’s calorie-cutting suggestion. I received the last bit of agreement that I needed. The surgeon is officially overruled. I will keep on doing what I’m doing and have faith that I will eventually bust through the plateau. I might get frustrated some times, but I just need to keep going and believe that the weight will come off. After the holidays, I might start off the new year with another detox, but I actually enjoy living on smoothies for a few days. It isn’t a big deal.

Being healthy. Making good choices. Pursuing my plans. These things add up to the true big deal. Maybe the next time I see Dr. S, and I hope that I do when she visits here sometime in the future, I’ll be at my goal weight! In the meantime, I pray that the move is all that she wants it to be and I wish her nothing but the absolute best on this next phase of her life’s journey. Her new patients in her new town will be so lucky!

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Adding Qualifiers

In response to yesterday’s post, Lani wrote a very thoughtful comment that asked me to consider this:
If you never lose another pound for the rest of your life, how bad would that be, really? You’re active. You’re beautiful (you were also beautiful before, and you are still now, just beautiful.) You’re fun and smart and amazing.

She points out that I’m healthy, I’m living a great life. So, really, how bad would it be?

I don’t know. In the grand scheme of things, I am so, so SO much better than I was. I just know that it feels like it isn’t enough. It’s like I have to add qualifiers. In other words, I don’t feel comfortable calling myself healthy, but I am healthier. I’m not in great shape yet, but my fitness level is greatly improved. So, yes, if this was the end, I would be in a better, healthier, less obese state than I was and that would not be the worst thing.

But is isn’t enough. I don’t want to stop yet. Lani isn’t suggesting that I do, but offered the perspective that perhaps I should give myself a break for a little while, enjoy where I am while I maintain it, and breathe. Wisdom and compassion are in this suggestion, along with her belief that I’ll eventually get through the plateau. I wish I could take her suggestion, but I just don’t think I’m capable of doing so right now. Maybe for the next two weeks as I get through the holidays, but then it feels like something inside won’t let me stop hammering at the plateau until I finally break through.

At more than 200 pounds, I’m still obese. I’m okay with my goal weight being 170, which at least gets me to the merely “overweight” category according to the BMI charts. I don’t feel driven to go down to the 160s, 150s or 140s. However, if I don’t get to goal weight, I will feel that I’ve left part of this undone. I won’t go so far as saying I will have failed. That isn’t true. Lani’s right. I’ve made myself healthier and more sane so to that extent I have won. It’s just that if I stop and don’t get into One-derland and then my goal, it will feel like I won second or third place instead of achieving the top prize.

I’ve come a long way in dealing with the emotional issues too, but I’m not at the point where I’m completely serene. I realize that I cannot let go of the fear that this success is only temporary. I am afraid that if I do not keep pushing, I will lose the motivation — that switch will flip to Off — and I will backslide. The possibility of backsliding out of control and regaining the weight terrifies me. Been there, done that, more times than I can remember.

The best deal that I can make for myself is to take it easy for a couple of weeks and not stress about it so much. While it might not be acceptable to me to never lose another pound, I can give myself permission to not lose anything for the next week or two. That’s as much of a breather as I can handle, but it should be enough.

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Validation & Encouragement

I’ve talked about the whole calorie reduction suggestion not only here but also to good friends. To a person, everyone has agreed with me that cutting my calorie intake by 25%, which would put me in the 600 to 750 calorie range a day, isn’t a good move. That’s putting it mildly. Some of the reactions were quite a bit stronger.

I know in my gut that I’m right to reject the suggestion and, at the same time, want to share that having that instinct validated by you and my friends really helped my emotional state. As upset as I was, these could have been really bad food and eating days. Instead, talking it out, getting positive feedback, validation and encouragement, helped me balance myself.

I’ve been pretty even keeled, eating balanced, planned meals. Exercise-wise, I got in my full exertion and effort both yesterday and today. All in all, I feel really good.

I’m going to take how I feel today and build on it tomorrow, then the day after and the day after. When one has such tremendous, long term, deep issues with food and eating, enjoying days when these things aren’t issues are moments to mark, to treasure, to use as stepping stones for further progress.

One foot in front of the other. One day at a time.

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Temporary “Screw It” Day

I want to thank you all again for your thoughtful suggestions, comments and support. I value the input you provided and have a plan.

Have to admit that the emotional impact of the doctor’s appointment and “cut more calories” suggestion stayed with me. Okay, it’s still with me today. Yesterday, I decided to give myself permission to say, “Screw it” to my food plan. No, not long term. I do not want to give up my healthier lifestyle. I just needed a day to not worry about eating any carbohydrates, enjoying a glass of wine, or eating a freaking cookie.

Last night was the holiday boat parade in my city. This sails right past my home and I usually have friends over. This year, I invited some close friends for dinner. I’ve said before that I still enjoy cooking and no cooking makes me happier than Italian. The smell of a good tomato sauce simmering on the stove delights my senses and makes my mouth water. I love mixing up a batch of meatballs to go with the sauce. Knowing that the friends coming over particularly like my Italian meals simply made me smile as I chopped, sautéed, seasoned, tasted and put everything together. The end result — a big bowl of meatballs, sausage and penne in sauce with crusty Italian bread and salad on the side. For dessert a plate of cookies and biscotti.

I’m sure between the preparation and the actual meal, I ate more than I would normally. I didn’t gorge on pasta but had some penne and some bread and a couple of cookies. All told, I ate less than half what my friends consumed. Strike me down, diet gods, I also had two small glasses of red wine.

We ate on my porch in the glow of my twinkling holiday lights. My friends savored the food I’d cooked. I experienced the time-honored joy of feeding people I care about. One couple’s three year old son entertained us with his energy and adorable “Wows!” whenever another brightly lit boat passed. It was a beautiful, fun, relaxing evening and I enjoyed every minute of it. Of course I made a huge amount of food so I packed up two generous “to go” containers and sent most of the leftovers home with my guests. I kept some meatballs and a little bit of penne for myself. Today I don’t even care so much about the pasta but I’ll enjoy the meat and sauce. I can always run up to Publix and get a spaghetti squash as a substitute.

With all of the cooking yesterday, I didn’t get in my full 10,000 steps. This morning I woke up to a beautiful day and immediately went out for an hour-plus bike ride, followed by a 15 minute dog walk. By the end of the day I’m sure I’ll exceed 10,000 steps. I will not overindulge in a pity party but will keep myself in good check with my eating.

I’m not going to cut my calories to 600 per day. There is not part of me that thinks doing so is a healthy choice. We’re heading into the holidays. I will be out of my normal routine for several days. While I would love to lose more weight during the rest of the month, I’m setting very simple goals: Maintain my current weight and keep exercising. When all is said and done, I’m going to be fine. No, I’m going to be better than fine.

Whether it takes me six months, nine months, or all of 2014, I am going to reach my goal weight at some point in 2014. On that I would never say screw it. I am absolutely committed to this goal and I will make it.

The best overall entry, it copied the leg lamp from a popular holiday movie.

The best overall entry, it copied the leg lamp from a popular holiday movie.

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Emotional and Physical Revolt

I had my every-three-months follow up appointment with my weight loss surgeon. This is the worst period of weight loss I’ve experienced since my surgery almost two years ago. I had ups and downs and the last couple of weeks were better, beginning with the post-Thanksgiving detox. However, overall, the total number of pounds was somewhere between few and pitiful.

Frankly, I’m puzzled. I believe that I’m doing good with my food plan. For sure I’ve stepped up my exercise. Simple math of calories in and calories burned should have added up to more significant weight loss, but my body apparently didn’t get that memo.

I went down the list of info with my doctor, explaining what I eat each day and how much physical activity I do. I don’t know what I was expecting in terms of advice, but I know I wasn’t anticipating that his suggestion would be that I cut out more calories. Seriously? I eat between 800 and 1000 calories a day and between my regular basal metabolism rate I burn more than 2000 calories daily. Honestly, I cannot fathom how in hell I’m going to eat less, take in fewer calories. The doctor acknowledged that I’m taking in quality with high protein and low carb. However, he feels that perhaps my body’s metabolism is lower/slower than normal. He went into a lengthier explanation about how cells of the body, etc. but I had a little trouble following the explanation and difficulty focusing on what he said. I do know that in his mind, reducing volume — cutting by a quarter in his words — is the strategy I should try.

Friends, color me shocked and shade that with some accents of dismayed and confused. Emotionally, I’m in full revolt tonight. I’m pissed off, even though I’m not sure at what or at who my anger is directed. It’s unfair of me, I guess, to be ticked off at my surgeon. I guess I wanted some magic solution that would wipe out the slow progress and put me back on the path of rapid loss. It isn’t his fault that I had unrealistic expectations. He told me what he medically believes. It just didn’t jive with what I wanted to hear.

Pointless as this is, I think I’m angry at my body, my stubborn, holding-onto-fat, cells and my underperforming, uncooperative metabolism. I resisted whining in the doctor’s office but, believe me, I’m whining to myself here at home and mentally stamping my feet in tantrum mode. I don’t want my metabolism to be slow. I want it to rev up and melt the freaking remaining pounds off of me asap.

I can’t let this derail me. I have to reconnect with my own focus and remember the promise to “go to any lengths to get it”. If that means cutting back on the already small portions I eat and compensating with even more water if I’m still hungry, then that’s what I’ll do. Or at least I’ll try my very best to do so and remember to have convenient small snacks available if all of the exercise triggers the need to eat. All that I can do is my best effort and hope that it’s enough to keep me going. I hold onto the thought that even though I didn’t lose the amount of pounds I hoped, at least I lost and didn’t gain. I know I’ve reduced my body size and my percentage of body fat. I am still moving in the right direction, even if I’m moving slowly.

To share a quick funny, in our appointment the doctor cautioned me about the approaching holidays. “It will be tough, he reminded me. “Lots of food around all of the time.”

“Dr., food is all around me all of the time every day,” I replied. “It has to be my choice to not eat it.”

On a brighter note, I ran into Kohl’s while I was “off the rock”. I needed new black pants that go all of the way to the tops of my feet versus stopping at capri or cropped pant length. Before I could get to the Women’s Department with its more familiar clothing sizes, geared toward heavier women, I had to walk right by the Misses Department. I get really confused about all of the different departments in a particular store, but I decided to brave the Misses section and see if I could figure it out. Yes, I know, it sounds on the surface like I’m pitiful. Imagine a grown woman of almost 56 getting confused and intimidated by store clothing departments. Still, if you don’t know and have never shopped them, you really need time or help to navigate and find the clothing you want.

The good news is that I went into the Misses section and found the Simply Vera Wang line. “Oh what the hell,” I thought. I grabbed a gray sweater that I thought was pretty and went to a dressing room to try it on. I’m at a weird place with clothing sizes. In some I’m still an XL, as opposed to a 1X, 2X, 3X or 4X. In other styles or cuts, I’m a L with tops. I can wear a 16 W pant, but still need a straight 18. Anyway, I found a couple cute sweaters from Vera Wang in XL. They look terrific with the new pants I purchased. I’m almost as pleased about my navigation of the store as I am about the clothes themselves. It’s a great advancement for me to take this on, silly as that sounds. I’m so glad I was successful.

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Was Weight Loss Surgery Really Necessary?

A little less than two weeks before I had my surgery, I was already doing the “full liquids” part of the preparation. Pounds were melting off. A good friend who was going through a very stressful time experienced a lot of anxiety over me having the bariatric surgery. When I shared that I was doing great with the full liquids diet, she asked me why I couldn’t just keep doing that and lose all of my weight instead of having a risky operation.

Speaking from the heart, I explained that I knew I would never sustain the weight loss effort long enough, or I would have done so before then. I also shared that I feared losing a lot of weight and then gaining it back yet again.

Next month I’ll hit my two year “surgiversary”. I probably won’t yet be at goal weight. Someone asked me today if I was sorry that I’d had the operation when it was still taking me so long to lose all of the weight that I wanted. There was nothing malicious about the question. I believe they were just honestly curious. I guess somewhere in their brain was the idea that I could have been able to lose it anyway so the surgery might not have been necessary.

I don’t agree. I still believe, just as strongly as I did two weeks before my vertical sleeve gastrectomy, that I would never have lost 175 or so pounds without the surgery. Was the surgery the magical cure-all? Of course not! Have I still had to work hard on every level to be successful to this point for so many months? Absolutely.

Was the surgery necessary? Was it worth it? Hell to the yeah! I can’t affirm it strongly enough. Surgically reducing my stomach capacity proved to be the tool, the key, the foundation on which everything else stands. To some great extent, it’s the security net when I teeter and fall off of the tightrope. It keeps me from completely hitting the ground and going splat. Because it limits how much I can physically eat, it’s an effective means for stopping a food relapse and prevents binging.

The physical control, or speed with which it helps me regain control when I periodically veer off course, has kept me in recovery and on a losing path for far longer than I have experienced at any other time. The longer time period has given me the opportunity to slowly and effectively make other lifestyle changes. The improved fitness and healthier food choices have developed over the months. I think this process means that the changes are better integrated and more sustainable. I don’t feel like the devotion to exercise is a flash in the pan. It takes time to grow new habits and that’s what I’m doing.

Maybe having bariatric surgery started out as my last ditch effort; the desperate attempt to save my life and improve its quality. Last ditch or not, it was absolutely necessary. I view its effects as the best way that I could open up my spirit for long term lifestyle changes. Simply put, it set me up for success and I’ve taken it from there.

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To Assess and not Obsess

It’s difficult to not obsess about my weight in terms of the actual number on the scale. Sometimes I think I should simply stop weighing myself, or at least stop weighing myself so often. Other times, I’m in such fear that I’ll grow lax and gain weight that I feel I have to be vigilant and keep a steady check on myself.

Simple truth. As far as I’ve come and as solidly as I’ve worked on the emotional and mental aspects of my disordered eating along with the physical, I still do not trust myself to not eventually screw this up. I prefer to think of this realization as crystal clear self-awareness rather than painful self-flagellation.

My scale number obsession is worse this week because I have an appointment my surgeon on Friday. I had that good weight loss when I did the post-Thanksgiving detox but then I stalled again. So, the total number of pounds lost since I last saw him four months ago is nowhere near where I wanted/hoped. I’m really trying to put the obsession aside and assess my progress in a healthy, rational way. It is what it is.

It is what it is, and I shouldn’t lose sight of the fact that all that it is happens to be pretty damned awesome. In doing the new exercise program that I bought, I’m actually delighted that I can lie on the floor and do abdominal curls/crunches. I can lift my butt and hips off of the floor in a bridge and hold them up there. I can walk for extended periods of time and distance or ride my bike for close to 20 miles. (I can probably pedal even further but I haven’t tried yet.) I’m in smaller size clothes than I’ve worn since probably high school.

I make far healthier food choices, eating more fruit and vegetables than candy, cake, cookies, deep fried foods or fast foods. My attitude is positive and I’ve developed an honest pleasure and enthusiasm about being physically active and fit.

To let a number on the scale cloud all of the good would be a mistake and a real injustice to myself. I need to cultivate the positive assessment. Right now, I feel like the mental fatigue of staying on the reduction part of the program is a bigger threat than anything else. I need to remember that the food program is only one aspect of the entire effort. There’s so much more to it; so much more to me.

I’ll get where I need to go, even if it’s one slow pound at a time.

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On Self Esteem

This weekend Dear Abby has a terrific letter from a teacher who wrote about the importance of bolstering self-esteem in kids. She said that she identifies kids in her class who suffer from low self-esteem and makes it a goal to find ways to show and tell them that they are worthy. In her letter she talked to parents about finding ways to encourage their children, help them to feel good about themselves and so on.

I suffered from lousy self-esteem for so many years, and it all began long before I ever realized that was the problem. I don’t know why it started and, honestly, I don’t know how resolved the issues. I suspect that the answer in both cases lies with family. I think there are also elements of self-actualization, or lack thereof, mixed in as well.

When I was younger, I measured myself in comparison to others and always felt that I came up far short. I would never be as great, accomplished and revered as my father. I wasn’t as smart or as good a student as my brother. I wouldn’t be as universally loved or loving as my mother. I created these opinions and they were my “truths”. Once established in my psyche, it didn’t matter that Mom, Dad and J didn’t set out to make me feel these things. This was my story and I stuck with it and every experience reinforced the negative feelings. The feelings fed my eating disorder, the eating disorder packed on pounds and reinforced the feelings. Damned vicious cycle.

I also counted on my father to be my safety net as well as my yardstick. When I graduated college and got a job that I not only liked but was good at, my confidence grew, but I still viewed my achievements through the Dad filter. This was not a period of great self-actualization by any means.

Small wonder that when Dad died, somewhat unexpectedly, my confidence fell apart. In addition to tremendous grief, I was completely stressed out and had an incredibly difficult time dealing with it. I hadn’t build enough foundation within to support myself in this difficult times. It was awful. This kicked off an almost ten year period of really crappy, stressful times with successes, failures, situations that were emotionally damaging and devastating to my self-esteem.

Eventually I got into therapy and then OA. Even if I didn’t achieve long-term weight loss, the work began to knit up the shredded self-esteem, shore up the crumbled confidence and allowed me to build a better foundation for the future. I think in this period began the greater awareness of my own abilities, talents and strength. The self-actualization. I became my own measuring stick instead of relying on myself.

I brought a stronger, more confident and balanced person to my relationships with my family and friends — including the two youngest bundles of awesome — my nephews. I felt closer to my brother and sister-in-law. Mom and I had always been close, but there was a different maturity to our mother-daughter bond. I no longer felt second best to the people I loved. I was secure with the people that mattered most. It was great enough to feel that from my adult family members. Added to it was the fact that A and J thought Aunt Mary was the coolest. Yes, that was an incredible self-esteem bolster.

When Mom was diagnosed with cancer, then suffered strokes and the seizure problems, I became her primary caregiver. It was hard mentally, emotionally, and physically. Caring for her, working with my brother and sister-in-law and Mom’s doctors to determine best treatment plans and everything when she couldn’t do it on her own, doing what she needed — My friends, I know that nothing I had ever done before, nor would again, would be that important. Ultimately, we could not save her life, but there was nothing, absolutely nothing, that we could have done better than we did.

As devastated as I was when Mom died, and as long as I mourned her after (still miss her today), I didn’t fall apart like I did when Dad died. Sure I was older and more mature, but even more, was the self-actualization, the confidence, the improved self-esteem. These carried me through. The experience also set me up for the transition to what has been the last, great 12 years of my life. In my job today, I have the most responsibility on the largest scale that I ever did and am part of a mission far greater than I had ever before experienced. I am more confident in my ability to do this job today and with whatever challenges might crop up in the future.

I could not have done this job 20 or 25 years ago. Today I have no doubts. The confidence, the self-esteem are real. When I think of this in terms of my weight and obesity issues, I have to wonder. Maybe it really did take me getting to my strongest place emotionally with solid self-esteem before I could succeed with the weight loss surgery. I don’t know. I’m only glad that I’m in that place today.

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