What’s Up, Doc?

On Friday, March 29th, 2019 I arrived at my first appointment for gastric bypass surgery after attending the seminar in December. I haven’t told but a handful of people that I was thinking about surgery for weight loss. I feel like surgery is the easy way out. In some ways it makes me feel like I’ve failed. The truth is, this is the hardest decision I’ve ever had to make when it comes to my weight loss. This surgery is irreversible. It’s not a fix-all. People still gain weight after surgery and to be honest I’m scared as hell. If I can’t control what I eat RIGHT NOW how can I possibly control what I eat after surgery? But that’s the least of my worries on this day.

The doctor comes into the room and tosses my folder on the desk, “So why are you here today?” I stare at him. He’s caught me off guard. I know he wants to hear that I’m here because I want a better life and no longer want health issues and blah blah but doc – let’s be honest. In order to get there, I’ve got to lose weight. So I say, “To lose weight. To be healthy again.” He chuckles a bit and right away I know that’s not the answer he wants and personally, I don’t care. He quickly replies with the list of things he was looking for. I already know I don’t like him. He’s cocky. His voice is demeaning and degrading. He asks me if I sleep with a c-pap – I answer no. He asks if I have high blood pressure – I answer no. Heart attack, stroke – no. He asks if I have diabetes – I answer no but I am still using Metformin to keep it under control because I used to have Type 2. I want to scream, “DID YOU READ MY FILE?!” He asks which type of surgery I’m interested in. I pick up a large flip board with the names of the surgery because who the hell remembers “Roux-en-Y gastric bypass.” I explain this is the type of surgery I’d like and the reason why. He quickly shoots it down and tells me that with the way I carry my weight and because I’ve had several abdominal surgeries, the sleeve would be better. He leaves the room to grab the female nurse because he has to check my heart. I look over at Kristy with disgust and whisper, “I don’t like him.”

Later that evening I received an email showing the notes and wrap-up of our appointment. Under ‘Chief Complaint’ the doctor writes “Sleep apnea, hypertension, degenerative joint disease, urinary stress incontinence, chronic fatigue, exertional shortness of breath.” WHAT?! Who the hell? Whose complaints are THESE? We never discussed these because I don’t have them. What is degenerative joint disease and urinary stress incontinence?! Now I’m worried. This is the doctor that’s going to operate on me? For fuck’s sake doc. Some would excuse it as – he most likely wrote the wrong patient notes in. Well, if he can make that simple of a mistake, I sure as hell don’t want him snipping, cutting, and stitching things inside my body. So tell me, what’s up doc?

Somewhere Over The Sugar Rainbow

“What do you mean I can’t have pizza for breakfast?” I don’t think my doctor is taking me seriously. “Look, Tonia. You’re going to get diabetes among other health issues that you don’t have already, if things don’t change. You’re not 20 anymore. You have to start thinking of your health and well-being.” I stare at him blankly while smacking my sugar-free gum. I leave the office feeling like nothing was accomplished. On another note, I did get a new pill and an increase in another. One for anxiety and the increase in depression medication. That’s right, Doc. Dope me up. That should help.

My therapist and I are having a stare off. “Why are you here?” he finally asks. “Where do you want me to start?” I reply with a chuckle. “Let’s start with why you sought help in the first place.” I really hope he has all day. I don’t think I can squeeze this all into a hour. “I have mother issues, anger issues, trust issues, sexual issues, and food issues. Just to name a few. Shall we start there?” Oh, God. He’s writing. Jot that down, dude. You’re going to need to remember this. Got enough ink in that pen? “Ok. Let’s start with your food issues. Why do you think you have issues with food?” I laugh hysterically inside. “Because I have mother, anger, trust, and sexual issues.” He gets paid for this stuff? He isn’t the first therapist I’ve seen and I have a suspicion he won’t be the last. This session has stressed me out. Guess I will treat myself to KFC and wash it all away with a root beer float.

My feet are starting to tingle. I work from home so I sit at the computer 9+ hours a day. I chalk it up to long periods of sitting. My legs start to ache. I try to get up and move around but my job has me glued to the screen. At night the tingling is worse. I elevate my feet and ignore it. Eight months later and I am feeling numbness. I change doctors and the new Doc schedules a diabetes test. “No biggie,” I tell him. “They’ve poked my finger before and sugars are always fine.” He laughs. Little did I know that it takes much more than that. The results: Type 2 diabetes. I barely hear the doctor talk about long term damage and dietary changes. My mind goes into a fog. “Is this going to be it? Is this going to be the wake-up call I need to change my life?” I stuff a large chunk of Kit Kat into my mouth and then take a long swig from my Pepsi. Can’t imagine how the diabetes arrived in the first place. Hop aboard the sugar train! I need to ponder this.