A hardcore look at why we need to care for ourselves
While she has vested interest in vitamins, supplements, etc., she does make good points about the importance of getting in your vitamins, calcium, etc. It's a hard-core look at being grateful and doing what we need to do - regardless if it's a pleasure or not.
It really did bring home the fact that I DO need to take care of myself. The results of vitamin and calcium deficiencies are not always immediate. We all need to follow the rules so that we don't hurt ourselves in the future.
We want this surgery for a better life. Why would we ruin that better life out of laziness or lack of discipline???
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I just had the privilege of spending a week attending the American Society for Bariatric Surgery annual meeting in Orlando, Florida. Engaging in casual conversation with the top surgeons in this field, discussing vitamins, protein, calcium, and compliance issues was an opportunity that I won't soon forget. I was as excited to meet some of the 'famous' surgeons as I would be if Mick Jagger stepped up to my pink and black BariatricEating.com booth.
Now… why this is a rant!
These surgeons cannot fathom that after they save our lives that we have the audacity to be picky about nutrition! The way many of them see it is that we are NOT living up to our part of the deal. They perform life altering surgery to save us from a certain early death from morbid obesity, their office staff does battle with our insurance company to pony up tens of thousands of dollars to pay for our surgery as it is surely the only means by which we will survive, yet we are lackadaisical about putting a small pile of vitamins and minerals into our body every day, and are boldly noncompliant with protein requirements.
The docs are even more incredulous about our pickiness with protein. When I would give them a taste of Vanilla Very Berry or Fuzzy Navel, their eyes would have a twinkle and they would love the taste but they would question as to why this was even an issue. It is cut and dry with the surgeons; they think it is a given that we do what we are supposed to do. These are no-nonsense men and women; when something is broken, they fix it. Some of them could not believe the letters and stories I related to them and had no idea that noncompliance was so widespread.
Here is a message from your surgeon…
Pick up the protein drink, the calcium, and the multivitamins and take them. There is no negotiating, there is no looking for a compromise, and there are no valid complaints about graininess, taste, or smell. Pick up the glass and drink the protein. Chew the tablets. Swallow that mouthful of calcium or vitamins. Period. We saved your life on that operating table, now do what you are supposed to do to maintain the health we have worked to give back to you.
Fortunately there are drinks that taste good but as I have said before; if in order to be sitting here in size 10 jeans I had to drink a glass of toilet water every morning, I would gladly do it. In fact, if I had to drink a glass of water from my neighbor’s toilet every day I would do it.
Why is this so difficult to comprehend for some of you? Do you take the label morbid obesity so lightly that you don’t think you have to perform certain tasks, that you have a responsibility as a post op. Look up the meaning of MORBID. That should be enough to scare you. Why would anyone not do what they were told when given a new lease of life with so few strings attached?
I used to think that making pre-ops jump through hoops for weight loss to qualify for surgery was cruel but I have changed my mind after a year of speaking to thousands of pre and post ops. With so many people facing insurance rejection, how can we make sure that the ones who will not hold up the end of the bargain are put at the end of the line for approval?
I think that strict compliance goals are a great way to weed out the disobedient. If you can’t lose 10% of your body weight before surgery, you don’t deserve to have it. If you can’t stop smoking, you don’t deserve this procedure. If you can’t manage to choke down vitamins, calcium, B-12 and protein; too bad, let someone have the surgery that will. We all can mange to stick to a program short term. We are all experts at losing weight. We just can't keep it off; which is where the surgery comes in. It gives us the means of control we lack.
As you can tell, this is NOT the week to write me an email and tell me that you can’t ‘tolerate’ the taste of your protein, or that you can’t ‘tolerate’ your chewables or your stomach feels 'icky' when you drink your protein. I have little lenience for weakness and whining. It will take a long time before I allow much room for the helplessness that I so often hear. I can’t stand the word ‘tolerate’… it is pure baloney. About 3 years ago I read a 'tough love' essay by an OH member named Leilani, and one line in particular resonates in my head; 'If this surgery doesn't slap a backbone in you, nothing will', as it is so true!
Just do what you are supposed to do. Figure it out and make it happen. Thank goodness we have products that make it easier to stick with the program but the bottom line is that it shouldn’t even matter.
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