To tell you the story of my body, do I tell you how much I weighed at my heaviest? Do I tell you that number, the shameful truth of it always strangling me? Do I tell you I know I should not consider the truth of my body shameful? Or do I just tell you the truth while holding my breath and awaiting your judgment?
At my heaviest, I weighed 577 pounds at six feet, three inches tall. That is a staggering number, one I can hardly believe, but at one point, that was the truth of my body. I learned of the number at a Cleveland Clinic in Weston, Florida. I don’t know how I let things get so out of control, but I do.
My father went with me to Cleveland Clinic. I was in my late twenties. It was July. Outside, it was hot and muggy and lushly green. In the clinic, the air was frigid and antiseptic. Everything was slick, expensive wood, marble. I thought, This is how I am spending my summer vacation.
There were seven other people in the meeting room—an orientation session for gastric bypass surgery—two fat guys, a slightly overweight woman and her thin husband, two people in lab coats, and another large woman. As I surveyed my surroundings, I did that thing fat people tend to do around other fat people—I measured myself in relation to their size. I was bigger than five, smaller than two. At least, that is what I told myself. For $270, I spent a good portion of my day listening to the benefits of having my anatomy drastically altered to lose weight. It was, the doctors said, “the only effective therapy for obesity.” They were doctors. They were supposed to know what was best for me. I wanted to believe them.
A psychiatrist talked to those of us assembled about how to prepare for the surgery, how to deal with food once our stomachs became the size of a thumb, how to accept that the “normal people” (his words, not mine) in our lives might try to sabotage our weight loss because they were invested in the idea of us as fat people. We learned how our bodies would be nutrient-deprived for the rest of our lives, how we would never be able to eat or drink within half an hour of doing one or the other. Our hair would thin, maybe fall out. Our bodies could be prone to dumping syndrome, a condition whose name doesn’t require a great deal of imagination to decipher. And of course, there were the surgical risks. We could die on the operating table or succumb to infection in the days following the procedure.
It was a good news/bad news scenario. Bad news: our lives and bodies would never be the same (if we even survived the surgery). Good news: we would be thin. We would lose 75 percent of our excess weight within the first year. We would become next to normal.
What those doctors offered was so tempting, so seductive: this notion that we could fall asleep for a few hours, and within a year of waking up, most of our problems would be solved, at least according to the medical establishment. That is, of course, if we continued to delude ourselves that our bodies were our biggest problem.
After the presentation there was a question-and-answer session. I had neither questions nor answers, but the woman to my right, the woman who clearly did not need to be there because she was no more than forty or so pounds overweight, dominated the session, asking intimate, personal questions that broke my heart. As she interrogated the doctors, her husband sat next to her, smirking. It became clear why she was there. It was all about him and how he saw her body. There is nothing sadder, I thought, choosing to ignore why I was sitting in that same room, choosing to ignore that there were a great many people in my own life who saw my body before they ever saw or considered me.
Later in the day, the doctors showed videos of the surgery—cameras and surgical tools in slick inner cavities cutting, pushing, closing, removing essential parts of the human body. The insides were steamy red and pink and yellow. It was grotesque and chilling. My father, on my left, was ashen, clearly shaken by the brutal display. “What do you think?” he asked quietly. “This is a total freak show,” I said. He nodded. This was the first thing we had agreed on in years. Then the video ended and the doctor smiled and chirped that the procedure was brief, done laparoscopically. He assured us he had done over three thousand operations, lost only one patient—an 850-pound man, he said, his voice dropping to an apologetic whisper, as if the shame of that man’s body could not be spoken with the full force of his voice. Then, the doctor told us the price of happiness—$25,000, minus a $270 discount for the orientation fee once a deposit for the procedure was made.
Before this torment was over, there was a one-on-one consultation with the doctor in a private examination room. Before the doctor entered, his assistant, an intern, took down my vital information. I was weighed, measured, quietly judged. The intern listened to my heartbeat, felt my throat glands, made some additional notes. The doctor finally breezed in after half an hour. He looked me up and down. He glanced at my new chart, quickly flipping through the pages. “Yes, yes,” he said. “You’re a perfect candidate for the surgery. We’ll get you booked right away.” Then he was gone. The intern wrote me prescriptions for the preliminary tests I would need, and I left with a letter verifying that I’d completed the orientation session. It was clear that they did this every day. I was not unique. I was not special. I was a body, one requiring repair, and there are many of us in this world, living in such utterly human bodies.
My father, who had been waiting in the well-appointed atrium, put a hand on my shoulder. “You’re not at this point yet,” he said. “A little more self-control. Exercising twice a day. That’s all you need.” I agreed, nodding vigorously, but later, alone in my bedroom, I pored over the pamphlets I had received, unable to look away from the before/after pictures. I wanted, I still want, that after so badly.
And I remembered the result of being weighed and measured and judged, the unfathomable number: 577 pounds. I thought I had known shame in my life, but that night, I truly knew shame. I did not know if I would ever find my way past that shame and toward a place where I could face my body, accept my body, change my body.