The Lap Band Zone II: "Dealing with civilian response"

By Aaron Grossman, Babyboomers.tv staff writer, "More Salt than Pepper"

I had Lap-Band surgery six weeks ago. Since then, I’ve lost 45 pounds and my doctor has eliminated the massive dosage of blood pressure medication I was taking. For more information on what Lap-Band Surgery entails and my reasons for opting into it, click here . I’ve encountered mostly positive reactions to my decision of taking the somewhat drastic step of bariatric surgery in order to arrest my compulsive overeating.

Actually, I’ve encountered only overwhelmingly positive feedback to my significant weight loss. That’s natural: I look better; I’m starting to resemble the person I used to be before I blew up into a medically obese creature; and, my sunny demeanor is returning in place of the cynical, clearly frustrated persona I had adopted during my long descent into “fattitude.”

However, there are other reactions with which I find myself contending. Most commonly, there are many folks who just don’t know what Lap-Band surgery is. Or, others who mistake it for full-scale bariatric bypass surgery. My surgery was laparoscopic -- 5 small incisions used to insert the Lap-Band itself along with a “port.”

Once explained, they silently nod their heads and I can hear them thinking … “Why would he choose this invasive technique just to lose weight?” Or, “What’s the matter, he can’t stick to a diet?” These observations belie the more extreme reaction which I have actually had said to me personally … “Surgery? That’s the easy way out of dieting.”

In fact, there are just such reactions to news from Australia that the government is considering paying for Lap-Band surgery for morbidly obese patients who can’t afford the procedure. This, in an effort to forestall the exorbitant medical insurance costs of the consequences of obesity: high blood pressure, diabetes, cardiac conditions, strokes, etc. Click here for more details.

But, when you dig a little further or just Twitter reactions to the news from Australia, there is a range of vitriolic (anonymous) email responses:

• “Why can’t these fatties just stop their whining and shut their mouths?”

• “This is such a f_ _ _ ing easy way out and a waste of taxpayer money for those of who really should lose weight by shutting their traps.”

• “Why are governments looking at lap band surgery for obese people? Why not start by censoring what they put in their mouth first???” The diet / fitness / healthful eating discourse has never been serene.

Witness Oprah Winfrey berating herself for her recent weight gain in the January, 2009 issue of O: “I'm mad at myself. I'm embarrassed. I can't believe that after all these years, all the things I know how to do, I'm still talking about my weight. I look at my thinner self and think, "How did I let this happen again?"

There are many of us who were born into the “lucky gene club” --- they eat as much as, if not more than, the rest of us but their metabolism burns white hot and they go through life without fat (or guilt.) There are others who successfully work hard at achieving the balance of sensible eating, a fitness plan and a moderate lifestyle. However, Reuters reported in January, 2009 that “the number of obese American adults outweighs the number of those who are merely overweight, according to the latest statistics from the federal government.”

• Numbers posted by the National Center for Health Statistics show that more than 34 percent of Americans are obese, compared to 32.7 percent who are overweight. Speaking for myself, I had reached my personal point of ‘no return.’ I had been on too many diets only to gain the weight back. While I knew I was capable of great discipline and had spent thousands of hours in the gym, the lure of food as an anesthetic to life’s woes had proven too great for me.

After much research, attending numerous support groups and speaking with many post-operative Lap-Band patients, I concluded that the surgery would be right for me. The notion of inserting a tool which could physically signal that I was too full to eat more food resonated with me. So, off I went.

To those who say it’s the ‘easy way out,’ here’s my reply: I went through both abdominal surgery and the attendant recovery from its unpleasant discomfort; I no longer drink coffee, carbonated beverages or distilled spirits; I will probably never again eat hard, crusty bread, well-done meat or anything else that can’t pass through an opening the size of a toothpaste cap in my ‘new’ stomach; if I do overeat, I’ll get sick, nauseous or vomit; in the worst scenario, I’ll be hospitalized from eating the wrong food or the wrong amounts. This is the ‘easy way out?’

On the other hand, in 6 short weeks, I’ve lost 45 pounds and have eliminated virtually all of my blood pressure medication; I can walk 6 ½ miles without getting winded or having to stop from joint pain; and, I am happy to do chores around the house again. I achieved this, in no small fashion, with the love and support of my family and, yes, relying on good old fashioned discipline to consume the right foods in the correct proportions.

At the end of the day, Lap-Band surgery has empowered me to take control of my food intake and regain my sense of self. It has not always been easy and it is definitely not for everyone. But it’s working for me right now. The very best part … and it didn’t happen as a result of the ‘easy way out’ … is hearing friends and loved ones tell me “Welcome, you’re back again.”

F. Scott Fitzgerald famously said “There are no second acts in American lives.” He was wrong – I’m living it right now.