Fat Girl Whining

I’m fat. Really fat. Over 300 pounds fat.

20160619_123933

I also have Diabetes and have to see an Endocrinologist every few months. Endocrinologists take care of fat people. A lot of fat people. There has not been a time when I’ve sat in an Endo’s office that there were no less than 4 really fat people. I just left the Endo’s office (and I love the people there) and need to vent for a second.

Chairs

How can an office that caters to fat people not have chairs without arms on them? How?! The first time in there, I asked for a chair without arms and they brought out one of the bench chairs (that still had arms on it). Fine. They brought it in the exam room with me, too. Nice.

Today, the bench was there… with someone already in it. So I had to cram my fat butt into one of the tiny chairs… with the arms going INWARD instead of out! What the crap?

chair

I spoke with the office manager who said she’d already put a work order in for more benches and asked me to answer to survey I’ll get in my email with a comment about the chairs.

We’ll see how long that takes.

Blood Pressure Cuffs

$_1

For fuck’s sake, I thought I had finished complaining about medical people taking my blood pressure incorrectly/painfully 2 decades ago.

  • Dealing with a stupid ER nurse using medical tape to try and keep the wrong size cuff on my arm, the tape splitting and the nurse huffing off to get his supervisor
  • Having too small cuffs bruising me dozens of times
  • Having large cuffs bruising me because I have really big upper arms with batwings

I thought I’d come up with a solution by insisting they use the cuff on my forearm. Techs and nurses balked at first, but for the last 5 years, it has been a matter-of-course to take my BP that way.

image4

Then today, the nurse came at me with a thigh cuff, easily twice as large as the large-sized cuff. I asked her to please take it on my lower arm and she said they had just had training saying it was required to take it on the upper arm because doing it on the forearm is “quite inaccurate.” I grudgingly said she could try, but if it hurt, I would cry.

d60e4c8e963cf3f32955ee601379d078

The cuff goes on and begins tightening. And tightening. And tightening even more. I said, “It hurts, take it off,” and it stopped pumping up so I said I’d sit still. Then it began tightening again and I nearly hollered, “GET IT OFF.” She did, charting, “Patient refuses BP.” I corrected her: I am more than glad to have my BP done, but on my forearm. She shrugged and left the room.

After my appointment with the Endo (which went really well), I asked how we were going to resolve this BP issue and she said it was “policy” and she would ask what to do. I said, “Patient requests forearm blood pressure,” please put that in my chart. She did.

Fat Anger

impale

We (our country) is fat… and getting fatter. What is wrong with healthcare providers that they do not make concessions for us? I’ve been writing about this since 1987!!! This is ridiculous.

Not accommodating fat people is yet another way to discriminate and intimidate fat folks. Healthcare providers not doing so prevents far too many people from obtaining care at all, care that can keep them healthier… and for you fat haters, even help fat folks lose some weight (if they want to or are able to).

Over the years, in the courts, this accommodating for “morbidly obese” people has been argued. The general consensus is now that fat falls under the American With Disabilities Act. One more thing on our side.

Please Speak Up!

need purple

Many fat people in our society sit in these tiny chairs, put up with exam tables that do not go up and down and never ask for accomodations for their size. I speak up whenever I can, but I cannot do it alone.

Thinner/Smaller friends and family, please “see” things how we do. If you see people squished into chairs, quietly talk to the office manager, explaining how difficult the chairs are for fat people. Say you have a family member or friend (which I am!) or partner that won’t say anything, but that they get bruises every visit. If you work in an office, restaurant or anywhere people need to sit, please advocate for us to get the proper seating for fat folks.

Special mention to servers: PLEASE STOP SEATING FAT PEOPLE IN BOOTHS (unless they ask to be put in one specifically). It is humiliating to try and squish ourselves into the tight tight space at a booth.

And if anyone thinks the small chairs and small spaces are going to force us to lose weight, you are woefully incorrect. Fat-Haters, rue the day this issue is yours or someone’s you love.

Thanks for listening. Rant over.

igor-grabar
painter: Igor-Grabar

Bipolar Diary: Incremental Shift

TWMental

Loving Nudge

After my Bipolar Diary: Depression Deepens post, I had several people tell me to call my psychiatrist immediately. I thought I could white knuckle it for another week, but others saw what I couldn’t. I trust those closest to me and picked up the phone, getting pushed into a non-existent spot in his schedule the next day. Wednesday, August 2, 2017.

Office Visit

The crying had been keeping me from functioning and did not abate while in his office.

cry

I told him about the suicidal ideation increasing… then added the obligatory, “But I have no plans to hurt myself, am not stockpiling meds and promise to call 911 if I do find myself getting too close.” He replied, “I understand how frightening they (the thoughts) can be, even when you aren’t consciously creating them.” I breathed a sigh of relief that he seemed to understand.

soren dreier
artist: Soren Dreier

I’ve had at least 8 different psychiatrists in 30 years and this one is one of the top 2. He listens to me, takes my preferences seriously like refusing the Risperdal increase and is infinitely patient with my continued distress.

I really am so blessed to have such a kind (and gifted) doctor. I know that is rare and how privileged I am to be able to receive quality medical and psychiatric care.

I OWE MY AWESOME CARE TO THE ACA/OBAMACARE INSURANCE I HAVE.

I would not be alive without it.

aca-bumper-sticker

Medication Change… Again

I continued crying while he pondered, looking at his computer, typing some, then thinking again.

He found a medication I had not tried before… Latuda… which I’ve since read is used specifically for bipolar depression. Yes, yes… it does come with a laundry list of side effects, but I’m ignoring them, listening to my body instead.

I know it takes at least 2 weeks (in my body) to 6 weeks to feel the full effect of psych meds, but when I got home from the appointment, I took my first pill. Then the next morning, I took the second. (It is taken once a day.)

634020302

Whether placebo or really working that fast, I did not cry until late evening the next day. I didn’t cry the next night, either. And the ideation has slowed, the thoughts feeling more “transparent,” fewer hard imaginings. The images had been like mosquito bites, begging to be scratched. (Not sure I explained that clearly… I’m having a terrible time writing this, pardon spelling and grammar errors, please.)

August 6, 2017

I’m feeling better still. The doc told me that if I was feeling too sedated, to drop the Risperdal, which I did on day 3 after starting the Latuda. I’ve been on Risperdal since 1995, so it is a major thought process to not take it before bed. I do feel less sedated (I described it like someone spiked my drink), but there’s a lot more room for not dropping into a slumber at any given moment.

Let me get this out so those who are following along know how I am doing. Thanks for you care and attention, my dear friends. Thank you for your love.

free getting
artist: Zenos Frudakis

My Wall-E-esque Life: Part 1

“Fat Acceptance” has been a catch-phrase for at least 40 of the years I have been alive. In 2 parts, I share my experiences and lessons learnt being a part of the…

Fat Acceptance Movement.

purple_divider

I’ve been fat ever since I got my tonsils out when I was 7-years old.

Fat kid, teen, adult and now a “mature” adult.

2-hommage

Trials (and Errors)

I’ve done dozens of diets, been prescribed Black Beauties & other speed (starting at age 8), belonged to many gyms, taken Phen-Fen (with success, but with heart valve damage), tried Topamax (fail), used Wellbutrin (fail), had a Roux en Y Gastric Bypass (with fabulous success, then epic failure), done hypnosis & acupuncture (fail & fail), become a daily Mindfulness Meditation fanatic (fail for weight loss/huge win for pain relief), have tried to have anorexia, then bulimia, hand-written hundreds of thousands of journal pages, letting them “hold” my pain, shame, revulsion, self-hate, wishes, fears, hopes &, eventually, resolution with my size.

I remain in resolution.

I will never diet or take diet drugs again. Ever.

edgeofcliff

Time & Money

Thinking about the masses of time and money I’ve spent trying to lose weight makes my head spin.

Time

  • Going to the gym
  • Writing out menus
  • Researching rules and techniques for success
  • Real life or online support group meetings, including social networks talking about losing/gaining weight
  • Shopping slower to read labels and make sure food is “appropriate”
  • Learning new cooking methods
  • Fighting with family about the change in foods in the fridge and cupboards
Sapphire4723
artist: Sapphire4723

Money

  • Gym membership
  • New cookbooks
  • Membership fees & apps
  • Tools for success (exercise equipment, pedometer, walking/running shoes, gym clothes, etc.)
  • Tossing all the “bad” food in the garbage
  • Buying all the “good” food
  • Probably eventually buying more “bad” food for my family because they whined so much about foisting my diet on them
  • $28,000 cash for RNY gastric bypass (GB)

Can I include the time and money (including the taxpayer’s) for the years of therapy discussing and crying about all of this?

money drain

Positive?

I was a Fat Activist in the mid-late 80’s, mostly in the lesbian community. I’ve written about being fat-positive for almost 3 decades.

In the beginning, when I was in my 20’s and early 30’s, I was healthy… labs were fine, no diabetes, my joints or feet didn’t hurt. I crowed (bragged, was arrogant) about how it was the fat-hating that made fat people sick and die, not the fat itself.

venn

purple_divider

Reality

diet fatter

Now, at 56-years old, I see how delusional I was. I am well on the road to dying before most people in my family did, and they all had diabetes, too. My future resides in my memories of my Cuban relatives & the diabetes complications they endured before dying. Heart attacks, going blind, having toes, then feet cut off, eventually dying in a coma because the body just gave up.

I see it coming as if it was a roaring train heading right for me.

Litany of Pain

pain--

Here are my fat-related illnesses and issues:

  • Type 2 Diabetes (diagnosed at 34 years old), now on 2 insulins and metformin
  • I heal terribly because of the diabetes, often needing antibiotics for residual infections
  • Stage 3 Kidney Disease from the diabetes
  • Pain with every step I take
  • Osteoporosis and arthritis in my feet, which have broken 3 times just from walking for exercise, and one foot breaking while swimming
  • Broke one foot falling off the Wii Fit Board trying to exercise… needed 3 surgeries to repair
  • Arthritis in my lower back, was on opioids for 8+ years for the back pain, becoming incredibly addicted, finally getting clean 3 years ago (yay me!) Now I use Mindfulness Meditation for pain relief, though many times I wish for some Norco.
  • It took me years to find surgeons I felt safe with to get my 4 hernias repaired (one surgery) and then my gallbladder out (a separate surgery, with 3 hospital visits afterwards because of infection)… several turning me away because of my enormous belly size (blessedly, I found the docs and those issues are resolved)
  • Bone loss from possibly 2 main sources: lack of exercise & the GB
  • Walking with a walker, but should be in an electric wheelchair, my feet hurting so badly
  • Using an electric wheelchair when I shop

Nautilus

swirl purple

My world has gradually become smaller and smaller. After 32 years in birth work (where I hurt daily as well), I am now a sedentary Phone Sex Operator. I live in a small space and leave the house only for doctor appointments, physical therapy, shopping and seeing my doggies at mom’s house.

Writing that makes me sad.

purple_divider

Part 2 On Its Way

In Part 2 of My Wall-E-esque Life, I will talk about the place the Fat Advocacy Movement does have in our lives. While it might not be health (despite the incessant refrain that it does), it is most assuredly have an enormous place in our physical and emotional world.

More soon!

A Side Effect of Goodbye

I wrote my Goodbye post for my Navelgazing Midwife Facebook followers and received something that I couldn’t have predicted: love.

I Am Loved

love gif

Thanks

thank-you-note

The kind words of thanks and appreciation for my writings over the last decade+ made my heart so full.

“A million times thank you. Without your influence I would never have become my own navel gazer.”

“Barb, I understand closing this door in your life and moving on but just know your words have had a great positive impact and you will be missed.”

“I have always been awed and so inspired by your ability to open up and share so boldly who you are.”

Births

signs-of-spiritual-transformation

But the comments from women about their births… my heart melted with those.

“so sorry to see you go! i found you during my surrogacy pregnancy, and you were a huge factor in my choice to birth med. free.”

“While pregnant with my first son I couldn’t get enough of your blog – it is what ultimately allowed me to find my voice and speak up that I wasn’t liking the care I was receiving from my OBGYN. I chose to leave that practice and seek out a midwife. Best decision I’ve ever made.”

“I love you Barb. You patiently waited for me to find my strength to say what really caused my baby to die. You held my hand and my heart as it took me years to realize how my daughter really died. You didn’t shame or blame or deflect from the truth.” This mom went on to become an NICU nurse instead of home birth midwife after her baby died due to the negligence of a home birth midwife.

Caring for Women
hands mixed
photo by Barb Herrera

And then there were the women who shared their personal paths from doula to nurse or certified nurse midwife. Stunning.

“I have followed you for so long, yours was the first blog I found and fell in love with when I realized that I NEEDED birth in my life! I’ve since gone to nursing school and become a l&d nurse, chairing our NCB Committee, and trying so hard to help women be respected and truly cared for during their experiences.”

“You have been such a wealth of knowledge for me as I completed my journey from doula to labor nurse to nurse midwife.”

“I was accepted back into nursing school today – 4 semesters stand between me and a BSN. L&D is the goal and upon graduation, my MSN to become a CNM. Thanks Barb, I owe a lot of my drive and self discovery to you.”

Thoughts

I am incredibly humbled by the comments I received on that Goodbye post. That I had an affect on so many is so amazing to me. As I write this, I am wiping tears of gratitude for all the blessings I’ve had as the Navelgazing Midwife. As is usual, the love and indebtedness people have for each other is symbiotic, flowing back and forth… a Möbius strip of love.

Thank you to all.

giffull

 

Who Is “45”?

“45” is what I call POTUS, the 45th president of the United States, that horrid man who squats in the White House tweeting (LYING) about random topics to divert our attention from the fucked up bullshit he does that will, PLEASE GODDESS, get him impeached.

crapfarm

Immigrant Birthing in El Paso

I wrote about my introduction to working with immigrants in ICE Burns: My Early Doula Clients. In 1990-1991, I volunteered as a doula at a Planned Parenthood Prenatal Program in San Diego, California.

El Paso, Texas

When I moved back to Orlando in 1993, I stopped for 3 months at Casa de Nacimiento, a birth center (now closed) in El Paso, Texas. 99.9% of the clients coming through Casa were immigrant women from Mexico, usually Ciudad Juárez. My Spanish, school-acquired, then practiced with the doula clients in San Diego, became second-nature in El Paso.

star-on-the-mountain-i_art

While Casa gave me an amazing education and taught me many skills, there are lingering worries about being a White person using the immigrant women as practice specimens… a reverse voluntourism experience. I will write about these feelings separately; they are deep and complicated.

I was not as woke about the White Savior Complex as I am now, so merely tried to be the best student midwife I could be. I loved these women and their families. I loved talking to them, learning about their Mexican lives (which were slightly different than the Mexicans’ experiences in San Diego). I purposefully kept my heart open, wanting to be a positive birth worker for the women coming and going through the center’s doors. Those 3 months in El Paso remain some of my most wondrous life memories. While most people despise the city, I found it alive with culture and magic.

Rio Grande

Getting from Ciudad Juárez to El Paso for prenatal appointments was often a hit or miss experience for the birth center’s clients depending on which officer was patrolling the border bridge that day.

It had not been easy: The visa that allowed her to cross back and forth between Mexico and the U.S. is expensive, and she had had to prove she had money in the bank and a reason to return to Mexico to be granted it. The lines at the border between Juarez and El Paso can take hours, and border agents are said to sometimes tear up the visas of women who are noticeably pregnant. Some women end up giving birth on the bridge between Juarez and El Paso because of delays….”

When the border was closed to even those with visas, the pregnant and laboring women, with their families, trudged through the Rio Grande River… day and night… to cross into the United States. They often walked miles to reach the birth center.

immigrants-rio-grande

Crossing the Rio Grande was bad enough, but the water was/is disgustingly polluted. American maquiladoras rose on Mexican soil years ago as a way to bypass manufacturing regulations implemented in the United States. With so little oversight, the maquiladoras also freely dump their waste, including poisonous chemicals, directly into the river… the same one laboring women were walking through. On several occasions, we would give a river-soaked woman a shower before she felt clean enough to have her midwifery appointment or birth her baby.

I remember one visit down to the edge of the river to help a nursing mom up the slope, the surface of the water had an oil (or gasoline) slick on it as well as scum like this:

dirty_river_el_paso_juarez0

All because Border Patrol would feel holier-than-thou and not let people over the bridge even with valid visas.

Disgusting.

Borders

I’ve not been to El Paso or Ciudad Juárez since 2002, but the border topic, with #45 in power, has a new focus.

Just this week, on February 22, 2017, the Washington Post wrote “Anxiety over Trump stems flood of Mexican shoppers to El Paso,” ending the piece with:

A U.S. border agent checking documents remarked at the lack of cars.

“People are scared,” he said, as he took this reporter’s and a photographer’s passports.

Of what?

“Of our president,” he said, before sending us on our way.

Yes, those of us who have a positive history with immigrants in border towns are, most assuredly, very, very scared.

imrs
Photo by Ivan Pierre Aguirre for The Washington Post

 

 

Pick a Cause, Any Cause

(For some amazingly strange reason, this post cannot be formatted correctly, no matter if I work in WYSIWYG or HTML; I have tried for 2 days to fix it, to no avail. I apologize for the bizarre lack of paragraph breaks/doubling of paragraph breaks.)

I have a theory (that has surely already been discussed in other places) that the new administration has an entire strategy to create as much turmoil as possible, knowing there would be protests (because the Women’s March on Washington was planned well in advance of the Inauguration), then seeing even more protests with each Executive Order, their idea took on greater and greater maniacal glee.

chaos-after-the-news-darwin-leon
artist, Darwin Leon, Chaos After The News

Piling On of Causes

Suddenly, there are causes to the left, causes to the right, causes above, below, front and center. People are flooding into the streets to protest the lack of women’s rights, Muslims being banned from our borders and white supremecists wanting to speak at colleges.

There are even more protests, not pounding the pavement, but striking the keyboard or dialing the phone. Some, like the scientists, have found even more creative ways of protesting bans, denials and dissolutions. And others are crazed by the potential nominees for various posts in the administration or losing their Obamacare, incessantly calling & emailing their representatives to voice their opinions.

 Folks who have never protested a thing in their lives are making signs and finding their way to join hoards of others who have also never found themselves in a mass of protesters.
An aside: In a piece about an ACT UP workshop, this really important point was made:
You learn activism by doing it, they said. One of the main obstacles to activism is the idea that you have to be an expert to do it —

Spinning Plates

finding_peace_amongst_chaos_by_jessica_joy
artist, Jessica Joy – Finding Peace Amongst the Chaos

Because there are so many causes to fight, it can be challenging to protest everything one feels strongly about. Surely, the administration is having a field day cheering that fact.

I see people in my own life swirling around, grasping at causes willy-nilly, protesting 1 one day and another, 2 days later. This frenetic energy cannot possibly be maintained. Speaking up, living in crisis mode, changing one’s life patterns, even for a short time can exhaust someone, causing Outrage Fatigue.

Madison Wilburs says it perfectly in “On Outrage Fatigue“:

Every morning, we wake up to a fresh Trumpian outrage, as the orange one’s fat little thumbs have tapped out the latest vitriol via Twitter before we lift our weary heads off of the keyboards we fell asleep on because we were up past midnight planning how to block his Cabinet, or save ACA, or get to Burr and Tillis, or, respond to Russian hacking. Is it any wonder that some of us are experiencing outrage fatigue?

As the Day of His Ascendence (formerly known as Inauguration Day) approaches, the more the sense of impending doom and inevitability grows. After the election, outrage and disbelief propelled many into passionate, but ultimately quixotic pursuits. Flipping the electors. The Jill Stein recount. As those prospects faded away, and the names and hideous bios of Trump’s Cabinet appointees came out, many geared up to protest and block that odious pack of cronies, capitalists, and cranks from running the country. Lists of committees were drawn up, scripts written, action plans mobilized. The GOP then ganged up on ACA, as Trump fanned the flames. No, no, protest that! many online cried. Russian allegations exploded; Trump kept tweeting. Crooked media! Overrated Streep! All-talk John Lewis!

los-angeles-anti-trump-protest

Outrage Fatigue

As sure as I am sitting here, the White House and even much of Congress are devising ways to wreak havoc on America and betting “libtards” will be out en masse protesting within a couple of hours. They are counting on it. So far, we are not disappointing them.
But with the passage of time, people become numb and mute, collapsing with exhaustion, creating  an open, wide and clear, path for the “president’s” coup to complete itself. (And I do believe we are in the middle of a coup!)
Long-time protesters each speak about outrage fatigue, previously called burnout, in their stories. ACT UP (AIDS Coalition to Unleash Power), ERA (Equal Rights Amendment) movement and even the LGBT(QAI+) (Lesbian, Gay, Bisexual, Transgender, Queer, Asexual, Intersex, etc.) all find themselves teaching younger generations how to avoid the outrage fatigue that comes with long battles, ones we are surely just beginning with this “president.”
actup_demonstrators

What I Can Do!

I have Bipolar Disorder and struggle with depression and must be hyper-vigilant to not become overwhelmed with sadness and pain, something that’s been quite a challenge the last 6 months or so, increasing each day. I’m also physically disabled, unable to go out into the streets to protest.

But I can write.

Since the Inauguration, I have been sitting back and pondering… considering what cause resonated most with me, which one I would be most effective battling.

What bubbled to the top was Censorship.
As a writer/blogger, I’ve been censored several times, from Blogger slamming my blog shut for having nude women (giving birth and breastfeeding!) to my midwifery licensing organization strong-arming me to “edit” one of the most important blog posts I’ve ever written. (I did and deleted the original, something that still brings tears 9 years later.)
Government censorship has always made me crazy, but it’s been over there… you know, in other countries.
Until this “president” brought it front and center in the United States.
I could enumerate so many examples, but the loudest and most obnoxious recently came from “president steve bannon” when, on January 26, 2017, in the New York Times, he said:
“The media should be embarrassed and humiliated and keep its mouth shut and just listen for a while….”
You can imagine the response.
From shock to hysterical laughter, CNN’s Jake Tapper gave the best answer of all; an emphatic, “NO.”

My Strategy to Avoid Outrage Fatigue

I have chosen to focus on that one strength of mine… writing… and the topic that most resonates… Censorship.

liberty

This way, I will be able to pace myself. During the couple of weeks with this new strategy, I’m finding myself able to see-and-toss the non-censorship posts, news pieces and videos, but am seeing, quickly and clearly, the pieces that relate to me specifically. This prevents news overload, which pulls me down towards depression. It is, sometimes, challenging to ignore the information on the periphery, but as I do, I find myself more and more at peace.
By focusing on my life-long writing skills as my major protesting mechanism, I am able to keep my interest level high and will have long-term focus on the censorship issue.

Many Hands…

guanyin
Guan Yin (觀世音菩薩), the Chinese Bodhisattva/Goddess of Compassion, Mercy and Kindness. I have “known” Guan Yin for about 3 decades working in birth, she is the Goddess who overlooks childbirth. When I remembered her “thousand arms” (in some depictions), she was the perfect representation of how I visualize the community (protestors/protectors around the USA) working to save our country’s liberties & laws… with compassion, mercy and kindness… for, and with, each other.
One last strategy is for me to connect with other writers, especially those who focus on censorship. Companionship fosters support and support can manifest in many ways including encouragement, reminders of the mission at hand and backing each other up when conflict gets nasty.
I’m hoping that as I send this out over the airwaves, it will find other like-minded people, but especially writers. I could use the support and suspect you could, too.
LET’S WRITE!