Wednesday, April 18, 2018

"Fatitude: The Movie" Review

"What's wrong with being a sex pig?" -- My friend


I am too old to really get behind the concept of trigger warnings, but if there was ever a movie where I would have appreciated one, this would be it. "Warning: If you are a fat person, "Fatitude: The Movie," will trigger you. Do not resort to food restriction or diet mentality," would have been nice. The majority of the movie is a catalog of how much the world hates fat people and is disgusted by fat bodies, interspersed with interviews with fat activists and health care professionals who practice in a manner consistent with the principles of Health At Every Size. The interviewees were funny, smart, and pointed. The catalog of "the world hates fat people" was just ... depressing.

The movie demonstrated the general dislike of fat bodies by showing many, many fictional and non-fictional media clips of people displaying this hatred, as well as quoting depressing AF studies that present evidence that most women would rather go blind or lose a limb than be fat. The movie included these things to show the omnipresence of fat phobia in our culture (please note that I am using that term as a shorthand for "fat hatred") and to illustrate why fat people face discrimination in the workplace and at the doctor's office.

Although I understand the intent of including all this horrific, hateful content, the barrage left me feeling drained and terrible, so much so that I, uncharacteristically, had severe anxiety after the movie (God bless my friend who gave me one of her Ativan). As a fat person, I feel like I keep all of this stuff in the back of my head, but I have to maintain some cognitive dissonance to go out in the world, keep my chin up, and do my thing. I'm sure this isn't true for most people, but I have only found two ways to be fat in this world: fat and apologetic for it, like when I was dieting, or in warrior mode. The latter is more authentic for me, even though it's exhausting. Interestingly, after the movie, I talked with quite a few friends who are farther along in their HAES journey than I am, and they were not bothered with the content of the movie to the extent I was. 

"Fatitude" spent a lot of time demonstrating the negative portrayal of larger bodies in children's media; you can see a great clip of Lindy West talking about this in the movie trailer. This part actually was helpful to me as a parent because it made me aware of this aspect of the media my kids consume, as if I didn't have enough to be worried about in this regard. My husband and I work hard to push the "all bodies are good bodies" agenda, and I'll be damned if a Scooby Doo reboot is going to detract from that. One of the things West says in the film is that the two biggest fat archetypes in cartoons are the Ursula from the Little Mermaid -- a sea witch who literally steals merfolk's voices -- and Miss Piggy, the consummate sex-starved and food-starved pig. So in a great moment of comic relief after the movie, I went to my friend and said in a panic, "OMG, now I'm so anxious, because people will only see me as the sea witch or the sex pig, and I am certainly more of a sex pig, and ARGH!" Bless her heart, my awesome, very religious friend said, "Now, what exactly is wrong with being a sex pig?" Me: "Absolutely nothing." Glad we cleared that up. Sex pig it is, cuz I'm sure as hell not stealing your voice or helping those "wanting to be thinner" (yes, that is in the song, FFS).

The last 20 minutes of the film offered suggestions about creating a new narrative around bodies and body image, most of which I summarized in my blog post about ditching diet culture. That information is not new to me, because I learned it all in treatment, but I can understand it might be eye-opening if you haven't been exposed to it.

Overall, the film is highly recommended, but be prepared that if you're in a larger body, the film might make you sad. Hopefully, it will also fuel your anger and motivate you to torch the toxic narratives that dominate pop culture.


Monday, April 2, 2018

Keep Your Diet Culture Off My Toddler

"Your words cut deep
Your lies are fueled by your need for deceit
Too scared to speak
You're only alive when you torture the weak
Now hear me roar" -- "You Want a Battle?" Bullet for My Valentine


My normally cheerful toddler had a very tough morning the other day. After I made the horrible mistake of taking away the iPad she was watching videos on, she couldn't stop having a tantrum. I was on my way to the gym, and thought the poor kid might calm down when I put her in the car and put on Amazon Music's Toddler Time station. Alas, it wasn't to be, and I eventually got so rattled after an 45 minutes of this screaming that I had to pull over on the side of the road and get out of the car until I could calm down. This is all a long way of saying that I had a very challenging morning, so I was relieved when T finally calmed down when I pulled into the gym parking lot and she realized she'd get to press the elevator button.

When we made it into the lobby of the gym, T was understandably hungry and I gave her the two snacks I had packed for her. She asked me for more food, but having none -- and trying to forestall a continuation of the tantrum, if I'm being completely honest -- I bought her a cookie from the gym's market. Of course, it's a market at a chain of gyms, so all of the food is packaged high-protein/low sugar foods. I bought her a protein cookie, which will hereto be referred to as the "Fucking Fake Cookie," or FFC. You'll see why. T was happily munching away on the FFC when a woman came up to us and said to T, "Oh, you're so cute! You're SO LUCKY you can eat cookies."

I instantly thought, "Not today, Satan!" and this conversation transpired:

Me: "You can eat cookies, too."

Nosy Lady: "Oh, I can't," she laughed. "If I eat one cookie, I have to eat the whole box!"

Me: "I used to think that, too. The interesting thing is, if you give yourself permission to eat what you want, suddenly the cookies become just another food and not a big deal."

Nosy Lady senses what she's gotten herself into and says, "Oh, but I'm a sugar addict."

Me: "If you give me your email address I am happy to send you a link to some journal articles that debunk that."

Nosy Lady: "I have a doctor's appointment! I have to go!"

Me: "Bye," but I really am thinking "CU Next Tuesday!"

The article I was threatening to send her was this. The TLDR is: "We find little evidence to support sugar addiction in humans, and finding from the animal literature suggest that addiction-like behaviours only occur in the context of intermittent access to sugar. These behaviours likely arise from intermittent access to sweet tasting or highly palatable foods, not the neurochemical effects of sugar." This certainly is true in my experience, but I'd rather talk about that in another post.

What bothered me more than this woman's phony science was the fact that she came up and tried to involve T in this nonsense. First of all, let's be honest: she wasn't trying to lecture T, who isn't even two. She was trying to lecture T's fat mom, but was too pathetic to take me on directly (#lame). I shut down diet talk fast when it's directed at me, but I move at warp speed when it involves my children.

I can't say this often or vociferously enough: I consider dieting and diet culture the worst thing to have infiltrated my childhood. My kids will be exposed to this so many places, our family won't be one of them. My husband and I are committed to keeping this garbage as far away from them as possible.

I feel like there are some days that God tests you, and this was one of those days. The fun continued: I had posted a pretty innocuous meme on Facebook exhorting people not to comment on people's weight loss. You can take it or leave it, but one person commented with some really fat-shaming and stereotyping comments, which royally pissed me off (I know, I know, that's what I get for posting on the dumpster fire that is Facebook).

The coup de grace on this really shitty day is that the FFC caused T massive diarrhea because it was full of sugar alcohols and inulin and things that are really not great to consume. I was covered in poop moments before needing to leave to pick up my older daughter from school, so I was late getting her.  The poor kid would have been better off if I had brought some Oreos for her.  I'm sorry T for feeding you fake food that messed with your tummy. At least I fought the good fight against diet culture.



Monday, March 12, 2018

How I Ditched Diet Culture In 10 Difficult Steps

I have gone through a radical change the last 6 months. Most people in my life knew me as a dieter and someone obsessed with weight loss. All that has changed and people have noticed. This post is in response to the many personal inquiries I've gotten about this that I can't take time to answer in depth. I'm happy to answer legitimate questions about this and help educate you, but any health trolling and diet culture crap will be immediately deleted for the good of the planet.

So, here is how I ditched diet culture and stopped hating myself:

1.You Know I'm No Good: Grow up inundated with messages that being fat is bad and unhealthy, dieting is good, and restricting food is praiseworthy. Learn from culture, friends, media and my family that my worth is dependent on the size of my body and that I have an obligation to be aesthetically pleasing to you.

2. I Don't Like the Drugs (But The Drugs Like Me): Spend childhood and adulthood dieting, taking prescription medications, and otherwise trying to turn a bulldog into a dachshund. In the process, wreck my metabolism and weight set-point for life. Continue to restrict broad categories of food and taking speed and other medications that have since been pulled off the market.

3. Doctor, Doctor, Please: Continue to buy into outdated health norms not backed by actual science, and freak out when a doctor suggests gastric bypass surgery. Join a spirituality-based diet program where I engage in severely disordered behavior, like measuring everything I eat for seven fucking years and seeking permission to substitute broccoli for cauliflower for dinner because the store was out of cauliflower. If I was in a small body and did the aforementioned things, someone would have been referring me to a psychologist. But hey, I’m fat and get thin, so my eating disorder will be praised by doctors and friends alike. Pro tip: If a behavior is disordered for small bodies, it’s disordered for larger ones, too.

4. Not a prisoner: Eventually I realize that I would rather be fat than live like a slave. Ditch the “spiritual” diet program, begin to eat like a normal person, and see my weight stabilize where it was before my restriction, because that's what bodies that have repeatedly dieted do.

5. Sweet Potato Pie: I still believe that being fat is bad and unhealthy, so start a ketogenic diet that completely throws my body and mind off the rails. Prick my finger to test ketones in my blood, calculate macros, and fantasize about eating sweet potatoes, all of which made me very bitchy. This was the beginning of the end.

6. My Darkest Days: Start seriously binge eating and binge drinking and doing other destructive things. Call my therapist from summer vacation and when I get back home, she calmly informs me I am going into a partial hospitalization program for my eating disorder: "They can do more with you in 3 months than I could do in two years." I assume my therapist is referring to overeating. Ha ha.

7. They Tried to Make Me Go To Rehab…. : I am admitted to an eating disorder program for 50 hours a week where I am diagnosed with a restrictive eating disorder. I am pissed and fight with every single expert there about how wrong they are about the diagnosis and everything else concerning my care. Several times a week I curse at them and tell them — in spite of all evidence to the contrary — that they are just after my money. I also accusing them of hating me and I routinely bring up their "thin privilege" (I can't believe they still like me, but they do). My therapists at my treatment center spend many hours educating me about the futility and harm of dieting and become used to my requests for peer-reviewed data. My registered dietitian there prescribes two Oreos at every meal, and since I ate all meals at my treatment center, she definitely kept tabs. This intensive treatment changed my life in more ways than I can detail here. My world was turned upside down. Did I mention I was pissed?


8. Superman's Dead: I unfriended or unfollowed anyone who routinely posts on social media about orthorexia, diet culture and disordered eating or exercise. This includes anyone who is a “health coach” for a multi-level marketing scheme or anyone who has ever shared a “sugar shot," “Transformation Tuesday” or “We don’t GAF what you’re eating Wednesday” picture. In the process, fire my fat-phobic physical therapist and get a new one. As part of this, stop having any conversations about others' diets, "life styles," "changes," "clean eating," etc.

9.
Start Seeing the World Through Diamond Eyes:  Instead, I populated my social media feeds with badass men and women who reject diet mentality. I begin to follow people who look like me. I looked at fat bodies in various states of undress until I was no longer disturbed, and eventually found their softness and curves beautiful. Simultaneously, I started reading the works of body-positive activists. I connected with Health At Any Size health care practitioners and read the research they shared with me.

10. Heart of Fire I eat and enjoy all the foods. I have cookies in the cupboard that I can take or leave, because when one has full permission to eat them, they are no big deal. I appreciate the incredible donut shop two blocks away, but go very infrequently. I am grateful to no longer being the mom who couldn’t accept her daughter’s offered bite of ice cream because "Mommy won't eat that" or the person who brings her own food to friends' houses because I can't eat regular food or don't know what they'll be serving (SMH).  I move my body regularly and feed it nourishing, balanced meals because I love it and want to treat it right.

Sunday, November 30, 2014

Infertility in the Hebrew Bible

Parshat Vayetze has endless topics that one could talk about, including Jacob’s famous dream, Rachel destroying her father’s idols, and the sympathetic magic that Jacob utilizes to increase his flock of sheep. However, what touches me most deeply in this parsha is Rachel’s infertility and what it can tell us about helping couples struggling with that problem today. 

In Vayetze, we read that Jacob served his uncle, Lavan, for 7 years to marry Rachel, but Lavan tricked him into marrying her older, and less desirable, sister Leah. Jacob then worked another 7 years to secure Rachel. Jacob strongly preferred Rachel, but Leah conceived and had 4 sons before Rachel had any. At this point, the parsha says “And when Rachel saw that she bore Jacob no children, Rachel envied her sister; and she said unto Jacob: ‘Give me children or else I die.” This is a very dramatic thing to say, but it is a sentiment that resonates for many of the 1 in 8 couples in America struggling with infertility. The Torah says that “Jacob’s anger was kindled against Rachel; and he said: ‘Am I in God’s stead, who hath withheld from thee the fruit of the womb?” (Gen. XXX:2).

Rachel seems to be issuing an ultimatum to Jacob: I don’t want to live if we can’t have children together. According to Ramban, Jacob was angry because Rachel went to him and said, “Your father, Isaac, prayed for a child and your mother conceived twins. Therefore, you must not be praying hard enough. You don’t care enough about me.”  Ramban further explains that Jacob was angry because the implication was that he should be doing the petitioning, and not Rachel herself, or the two of them together like Rebecca and Isaac prayed side-by-side for God to give them a child. According to Ramban, Jacob replies by saying “this is in God’s hands, not mine,” and hints that maybe Rachel needs to take action besides just praying. Rachel’s immediate response to her husband’s anger is is to offer up her maid, Bilha, in order for him to be built up, just like the childless Sarai offered her handmaid Hagar to Avram. 

There is another commentary on Jacob’s angry response which resonates much more with me, but we’ll visit that later. 

It’s important to note that all of the patriarchs married women who were barren. The prophets Jeremiah (30:17) and Isaiah (59:20) constantly compare the land of Israel during the Jews’ exile to a barren woman, because just as Zion is in pain during the exile, so is a barren couple in pain throughout their infertility journey. I think that this pain can be especially sharp in the Jewish community, which places so much emphasis on the importance of Jewish continuity, and where so many synagogue and social activities revolve around children.  A Jewish couple experiencing infertility has a special kind of pain: after all, the first commandment in the Torah is to be fruitful and multiply, and the Jews are a nation whose origin is the fulfillment of God’s promise to an infertile couple -- Abraham and Sarah -- that they would have a child. Rather than just viewing infertility as a medical condition, some Jewish couples view it as a judgment by God.

Why does the Torah place so much emphasis on infertility and what is it trying to teach us? One possible reason is to remind us that children are a gift from God, and not to be taken for granted. Another is to offer two possible spiritual approaches to dealing with infertility -- or for that matter -- any existential challenge. One is to use prayer. This was the approach of the barren Hannah, whose story is read on Rosh Hashana, and whose prayer becomes the model of our daily amidah. Prayer is such a natural response to infertility that Chazal assert in Shir haShirim Rabbah (2:14) and Bereishis Rabbah (45:5) that this is why God rendered our matriarchs infertile: because God craves the prayers of the righteous. I don’t pretend to know the mind of God, but I disagree with Chazal on this point. Firstly, because it seems capricious and cruel, and secondly, because our foremothers had enough other issues that would have caused them to petition God in prayer.

The other way that the matriarchs and patriarchs responded to the affliction of infertility is to undertake some form of extreme sacrifice. As I mentioned, Sarah, Leah, and Rachel all encourage their husbands to sleep with their handmaids in order to secondarily have children and build up their lineage. Hannah makes what most mothers would view as the ultimate sacrifice: giving up her hard-won son, Shmuel, to be reared away from her in service to God at the Temple. A similar story of sacrifice exists in this week’s parsha, too: Rachel and Leah negotiate that Jacob will sleep in Leah’s chambers in exchange for Leah surrendering the the mandrakes, a fruit that reportedly was an aphrodisiac, that her son Re’euven collected (the Torah tells us that Leah’s son Isaachar was conceived from that arrangement). The commentator Sforno says that Rachel only conceived Joseph after God saw that she made a strenuous effort to have children by giving her handmaid up to sleep with Jacob, by negotiating for the mandrakes, and by fervent prayer.

Please don’t think that I am suggesting that couples struggling with infertility should consider open marriage as a potential solution to their dilemma. God forbid. However, the modern version of this could be taking on extra mitzvaot when one is seeking God’s intervention in overcoming a challenge or seeking God’s resolution to a problem. Furthermore, any couple who has undergone the emotional, financial, and physical rigors of any assisted reproductive technology can attest that they are already making a significant sacrifice in order to try to have children.

I want to return to Rachel’s heartbreaking comment that she must have children or she will die, and Jacob’s anger at that response. The 15th century commentator the Akedat Yitzchak offers a different explanation than Ramban’s, and one that I find much more compelling. He writes that Jacob bristled at his wife’s comment because although having children is an important part of life, it is not the only part of life, and to suggest otherwise is not a Jewish value. What is a Jewish value is to live a life that is meaningful in other ways, even if one cannot have children. Frankly, I would argue that this is a Jewish value even if a couple is blessed with children.

Ultimately, all of the matriarchs had children, but as we know, sadly, this is not the case for everyone experiencing the pain of infertility. I believe that what the Torah is teaching us is that it is important to be generative, whether or not one has physical children. I am thinking of the last Lubavitcher Rebbe who had no biological offspring, but who often said, “I have thousands of children,” referring to Am Yisroel. I am also reminded that parshat Bereishit interrupts the telling of Noah’s generational line to praise Noah‘s character. The verse states: “These are the generations of Noah. Noah was in his generation a man righteous and whole-hearted. Noah walked with God” (Genesis 6:9). After promising an introduction to the sons of Noah, the the pasuk goes on to praise him; his children are only mentioned in the next verse. From this, the midrash infers that this teaches us that the main progeny of the righteous is their good deeds.

I want to end with a hopeful verse from Isaiah (56:3) "Let not the eunuch say, 'Behold, I am a dry tree.' For so says the Lord to the eunuchs who will keep My Sabbaths and will choose what I desire and hold fast to My covenant: 'I will give them in My house and in My walls a place and a name, better than sons and daughters; an everlasting name I will give them, which will not be discontinued.'" 


Regardless of marital status or if one has children or not, we can all contribute to our Jewish communities, thereby growing the nation of Israel, which is the offspring of all of us. Shabbat shalom. 

Friday, July 5, 2013

Radio Silence aka Hearts Burst Into Fire

Written June 6, 2013

"It hurts! Wounds so sore! Now I'm torn, now I'm torn.
I've been far away: when I see your face my hearts burst into fire." 

-- "Hearts Burst Into Fire," Bullet For My Valentine

There has been radio silence on my blog for two reasons: 1. I have been sick as a dog with first-trimester pregnancy symptoms of nausea, fatigue, and light-headedness. Some days, I am incapacitated by it. 2. All I want to write about is this experience, which I have been too scared to talk about publicly. For that matter, I still am.

All women are nervous during their pregnancies. Who doesn't want a perfect, healthy baby? And what is more uncontrollable than this most precious of outcomes? But, for most of us who have had a pregnancy loss -- and all the more so when you have had many pregnancy losses -- the fantasy of a glowing, relaxed pregnancy just won't happen. Consequently, I have been a nervous wreck. Last night, however, I had a total nuclear mental meltdown. Someone I know posted something about a five-month stillbirth on Facebook, and I had an out-and-out panic attack.

One thing that's nice is that this has been a very closely monitored pregnancy. Not because monitoring would affect the outcomes, but because it makes me feel better. With each positive sonogram I can stay on this side of sane for a few more days, until the anxiety again takes over ("Wait! I don't feel queasy this second" or "Wait! My boobs only hurt a 6 out of 10 instead of a 10 out of 10!")

The above-quoted lyric from BFMV really captures my mental health right now: I am truly traumatized by my miscarriages, and oh, the wounds are still so very sore. The sonograms are like CPR for my soul, so I can check on the little one. And yes, when I see his or her face, my heart bursts into fire.

Thursday, May 9, 2013

Email To A Suffering Woman

I got an email from someone who just suffered a miscarriage after her one and only pregnancy after trying to conceive for five years. She asked for my advice on how to move through it, since she is in so much pain. I am posting my response to her here, in case it contains advice that helps someone else who is hurting.

"Dear H,

I am so sorry for your loss. I have been through this three times, and it is excruciatingly painful. Since you asked for advice about how I survived, here ya go. Take what you like and ignore the rest:

1. You WILL get through this. One day at a time, sometimes one hour at a time. You are grieving, and that is ok. Take it easy on yourself, and stay out of self-judgement. Try to take good care of yourself, the best you can: good nutrition, getting to bed at a reasonable hour, perhaps tea with a trusted buddy you can cry to. If you are spiritual and part of a faith community, connecting with that might help, though anger at a Higher Power is totally normal, too. And, dare I say it, exercise helps. Getting my ass to the gym post-miscarriage was one of the best things for me mentally and physically.

2. The biggest challenge for me was that my husband and I grieved the loss of our babies differently. It was very hard to be with him because seeing his face (the father of my kids!) really heightened my grief. He was the only other person on the planet suffering the way I was, and sometimes being with that was too much. Instead of pulling away, I had to consciously move closer to him. Not easy, but worth it. We had to figure out a way for each of us to grieve our own ways; me by wallowing in it for a while, him by losing himself in work. One isn't right or wrong, better or worse. Just different, and we had to allow space for each others grieving styles.

3. This is very, very hard to hear, and I don't say it lightly. Nor would I say this to you without having lived through this: as much as I understand your sentiment that this feels worse than just not conceiving, it is actually a very hopeful sign for your ability to conceive in the future. Several reproductive endocrinologists have told me, "It's a sign that something is working." Cold comfort for where you sit now, I know.

Please know I am sending healing thoughts your way and I am here if you need something. This hurts like hell, and yet you will rebound, I promise. Winston Churchill wisely said, 'If you're going through hell, keep going.' Take it easy.

Blessings,
Sarah"


Tuesday, April 9, 2013

Book Review: Conquering Infertility

Conquering Infertility: Dr. Alice Domar's Mind/Body Guide to Enhancing Fertility and Coping with InfertilityConquering Infertility: Dr. Alice Domar's Mind/Body Guide to Enhancing Fertility and Coping with Infertility by Alice D. Domar

My rating: 4 of 5 stars


"Conquering Infertility" is not a perfect book. It was written in 2002, and a lot of the medical landscape of assisted reproductive technology -- particularly in-vitro fertilization success rates -- has changed dramatically for the better. In spite of that and a few other issues, I still found the book a very worthwhile read.

The first part of the book instructs on some basic relaxation techniques to help calm the overactive stress system that gets engaged when you are undergoing infertility (IF) treatment. Domar details how to engage in progressive relaxation, visualization, and other techniques to kick in the relaxation response. She does this not because she claims it will help you get pregnant, but because it will help calm your system while you're dealing with this crisis. I did have a major criticism of this section: Domar is very quick to dismiss meditation as a helpful technique for overactive minds. She encourages you to try another relaxation technique instead. I don't know anyone who doesn't have an overactive mind -- it is the very nature of minds -- and the beauty of meditation is that you learn how to calm it. So, please don't give up on meditation!

The second part of the book deals with very specific IF issues. The chapters I found most useful were how to deal with handling IF at work, and the chapter on spirituality and IF. Both were full of compassion and practical advice for working through the problems IF poses.

The last chapter of the book is about how to deal with it when treatment fails. Domar discusses adoption, egg or sperm donation or living child-free. Again, she does so with compassion and practical advice.


Overall, if you are dealing with IF, I highly recommend this. A final note: the book, like most on this topic, is primarily directed at women, though I do think that men who read it would find it helpful.




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