health – Life and Lims

Best books I read in 2019

Fiction

Night Film, by Marisha Pessl: This novel gave me all the satisfying feels that I got from reading Carlos Ruiz Zafon’s The Shadow of the Wind. Pessl’s book is a top-notch gothic tale with an atmosphere that’s practically a solid character looming in the background. Only drawback is the few-dozen instances of strong language.

Recursion, by Blake Crouch: Recursion is a mind-bending novel that delves into the nature of time, memory, and reality. It’s philosophical; it’s brilliant science fiction; it’s a thriller. There are lots of pieces to this 3-D puzzle that come together in unexpected ways. I read it all in one evening; it was nearly impossible to put down. It’s complex and unexpected and one of those books to remember. I can’t say enough about how fascinating and mind-blowing and thought-provoking it is. Again, like above, would be perfect if there weren’t a couple of dozen uses of strong language.

The Labyrinth of the Spirits, by Carlos Ruiz Zafon: I suppose it’s fitting that since I’ve already mentioned how much I loved Zafon’s first novel in his Cemetery of Forgotten Books series, this past year he published his last book in that quartet. And while the third one was just so-so, in hindsight a useful piece of the whole picture but not fabulous on its own, this one was just about everything I would have hoped for in the final book. This gorgeously crafted novel holds within it layers of stories that have run through the whole set of books and whose threads end up tying off together by the end in some way. And each story pays homage to other stories, to the power of literature. It’s all such a love letter to books, and masterfully done. Bless you, Zafon. I still want more.

Ascending and Bright Shards (books 1 and 2 of the Vardeshi saga), by Meg Pechenick: These novels read like a nonfiction account of a real woman’s experience going on an exchange program, immersing herself in a foreign culture that just so happens to be alien. The story could very well seem a bit dry or slow to some readers, but I found it fascinating because the author makes it all seem so authentic. Pechenick fleshes out the Vardeshi culture and some of the language and approaches it with a scholar’s view. Ascending and Bright Shards are really cool books but possibly more for cerebral readers who enjoy the concept, the world-building and well-crafted characters. I’m cheering them on because this author probably isn’t getting tons of attention and I just enjoyed the whole experience of being transported in what seemed such a real way (and that the writer used linguistics to do so). I’m so eager to read the next book that I keep checking back on Goodreads to see when it pops up with a publishing date.

Nonfiction

The Valedictorian of Being Dead, by Heather B. Armstrong: Armstrong was a popular and successful “mommy blogger” who struggled with depression for decades. After one particularly bad bout of depression, her psychiatrist suggested she enter a trial that was happening at the University of Utah, very close to where she lived in Salt Lake City. She would be the third person to be “put under” so deeply with the anesthetic propofol that her brain activity would go down to almost nothing. The process involved 10 visits to the hospital over the course of just a few weeks, with doctors administering the medication and monitoring her brain waves and then bringing her back out of what essentially was a deep coma or near-brain death within an hour. The protocol had the same effect on the brain of essentially “jump-starting” it as happens with the seizures produced by electroshock therapy, but with far fewer side effects than that old but still effective treatment for depression that is resistant to medication. Armstrong captures so well the feelings and ideas that are so common in those experiencing clinical depression, those that people who have not experienced it cannot fathom, and she relates her experiences with great insight, some wit and even great compassion.

Chasing My Cure: A Doctor’s Race to Turn Hope into Action, by David Fajgenbaum: This is the story of a young doctor’s battle with a disease that nearly killed him several times and his drive to not only help thousands of other people with the disease but even to change the traditional system that has made it so difficult for researchers and doctors to make significant progress in finding causes and cures for other so-called “orphan diseases.” At the same time, Fajgenbaum describes how through his experience he found ways to better connect with loved ones and find happiness. Fajgenbaum’s story is fascinating not just because of what he brings to the table as a patient, bright doctor and researcher and even businessman, but because of how much he’s done in a short time to make tremendous progress.

The Body: A Guide for Occupants, by Bill Bryson: Before this book, I had not read any of Bryson’s work. I had heard of his talent and the light but informative style he so skillfully uses, so when this book came up for me to review on NetGalley, I snatched it. And now I am going to move some of his other books up on my to-read list. If you’d like to know more about your whole body and like to be entertained while you learn, Bryson’s for you. You should end up with plenty of tidbits to share with your family and friends. Bonus: it’s completely clean reading.

Young adult

Finale (Caraval, book 3), by Stephanie Garber: OK, I loved these books. I want there to be more and more. But all good things must come to an end, sadly. This book was just as magical and transporting as the previous two, and I gobbled it right up within a few days.
Finale wasn’t perfect; I thought the ending was a bit rushed and got tied in a bow more quickly than I thought was organic, but it was so enjoyable nonetheless that I didn’t mind.

The Start of Me and You, by Emery Lord: This is a good example of a fine YA romance with a bit of heft. It got me invested in the characters. I felt for the main character, Paige, and her challenges: She faces grief and guilt and frustration over being pegged as one Thing wherever she goes. She worries over a lot of things and struggles with anxiety. Her beloved grandmother has health difficulties, and her divorced parents throw her a curveball to worry about. All that’s not to mention just the standard high school challenges any teen has to face. But she works on ways to find happiness and has a great support system, with her family and friends. I liked her friends and their personalities and the way their group gets along. And her friendship and all the interactions with the love interest were really fun to witness. It stuck with me and I was pleased to be able to read the follow-up, which was just published this week (January 2020), The Map from Here to There.

Treatment for mental health is hard because diagnosis is even harder

Part of the reason I write this blog is to document my particular struggles with mental health. Having to deal with some kind of challenge that’s within the range of mental health is just as common as dealing with some kind of difficulty with any kind of physical health. In other words, either category is EXTREMELY broad. Physical challenges can range from diabetes or thyroid issues to cancer or gallstones. Any disruption in mental health can lie anywhere in a big range, too. Physical illnesses can sometimes prove tough to pin down, but it seems figuring out a diagnosis of a mental illness can prove consistently more difficult. Even if a diagnosis seems mostly straightforward, finding a treatment that will help the person going through it to get to a fairly “normal” state is far more difficult.

I’m in my mid-40s, and I’ve been diagnosed with depression, bipolar, or atypical bipolar disorder variously over the past 25 years or so. I’ve gone through a number of antidepressants and some medicines that are usually prescribed to treat bipolar disorder. Some have helped for a short time, some haven’t helped at all, some have made me feel worse. Some have helped enough for me to live my life pretty normally. I’ve been seeing a very capable nurse practitioner for the past five or six years, I think, and I’ve been on an antidepressant that’s pretty much kept me mostly in “normal” mode. But I’ve still had bouts (or very, very long, standard stretches) of what I’d just call irritability. And I know that just isn’t ME. I’ve known instinctively that it’s more a quirk in my brain chemistry or something, rather than a defining characteristic of who I am. And my extremely busy life managing a household, taking care of four daughters (now one of whom is married and out of the house, so the dynamics and responsibilities have somewhat changed, but not at all taken her “off the register,” so to say), working from home part-time and volunteering and managing fairly big church responsibilities, just for a short summation, keeps me running at a high level. It’s easy to say it’s “understandable” I’m irritable. But recently I thought it was time to check in with my practitioner and address the irritability again. I’m exhausted from “managing” it. Surely there’s something out there to help me with my underlying mental health so I’m not working so hard to manage and can just live, expending a bit less energy on coping?

So we visited a few weeks ago, and talked for a while. She is fantastic because she’s very thoughtful and discusses the issues with me, asks probing questions, revisits assumptions, etc. We’re partners in my care, and I really feel she’s very knowledgeable, and she’s sensitive as well. That’s a biggie. She said to me that perhaps I’m not really on the bipolar spectrum at all. All she could say was that I’m just my own thing. So there might not be either a diagnosis for whatever I present as yet, or because mental health really is so varied and unique to each of us, maybe there isn’t or won’t be, if that makes sense. All we know is there have to be some kinds of ways to help me with some kind of existing medication so I can function better. So she said she’d try something, a medication that psychiatrists sometimes use to help with that part of mood. It’s a seizure medication used off-label in this way. She tried me on a very small dose, and I actually do feel it’s helping. My life is still CRAZY BUSY!, but I feel a little less like I have to work hard to manage my mood even while I’m managing my life. So I’m feeling hopeful and a little happier, just to have an extra tool in my arsenal, and to know that my practitioner is really awesome at her job.

This just leads me to a few conclusions yet again: we still don’t know a lot about mental health and illness. We’re doing better than 30, 50, 70 years ago, but we have far to go. And we need far, far more practitioners who have the training, experience and skills to deal with this complex issue. So many people are suffering and there simply aren’t enough practitioners around to help them. I’m blessed to have found someone who can do what she does. Even that’s not perfect, but it’s really about the best I think there is. Meanwhile, I just wish, wish, wish we had more incentives for people to go into the profession and stay there, that the specialists were available in every small and underserved area.

I write this because I just want to put my voice out there. I’m mostly a “success story,” and that’s just because I’m not crippled by my lapses in mental health, and pretty well functioning, and I’m a very resilient, determined personality. I have at least enough income and resources that I have been able to find someone to really help, but that’s still taken a great deal of time and work on my part. It’s been a long and tough journey. It shouldn’t be this hard.

As we work to try to improve outreach, availability and quality of care, and genuine help for those of us with mental health challenges (again, not at all just a small portion of our population), let’s continue to just be kind, patient and understanding to those around us who struggle and need our help. It still does mean the world.

Fat-shaming: Stop. Just stop.

Following up to my last post about Harriet Brown’s Body of Truth, here’s another reminder of our society’s last acceptable prejudice. Racism still exists, but our society no longer will accept it, and we call it out whenever it appears in the news or the cultural consciousness. Our treatment of and attitude toward homosexuals is something that’s changing and is addressed frequently. Debate over policies is still complex, but how we treat individuals should be pretty clear: just be kind. Don’t name-call. Don’t lump into a category. Don’t assume.

But we’re still in the very early phases of ending the name-calling and shaming over fat. About once a week, it seems, some celebrity or other makes assumptions and puts their foot in their mouth about people who are overweight. Cheryl Tiegs stupidly assumed a couple of things in February about model Ashley Graham: One, that Graham isn’t healthy. Two, she assumed her waist size was 35 inches or more, giving her the basis for saying Graham can’t be healthy.

Here’s what happened: Graham’s waist size was revealed to be 29.5 inches. It’s perfectly within the range of what experts say is healthy (although, let’s be real … doctors really know far too little about weight and health, as Brown writes in Body of Truth, for one). And Graham works out regularly. She seems to be taking care of herself. As she said to the Daily Mail, “There are too many people thinking they can look at a girl my size and say that we are unhealthy. You can’t, only my doctor can!” (I’m guessing she’s lucky enough to have a doctor who sees the big picture of health and hasn’t pushed her to lose weight.)

And the fat-shaming of today comes from Australia, where a fitness expert just assumes that all overweight people must be unhappy. One, it is possible to be overweight and happy, and two, her remarks and attitude likely contribute to people who are overweight feeling dissatisfied with themselves simply because of their size. It’s been shown time and time again that making someone feel bad about themselves, guilty, shameful, etc., will NOT lead to them taking steps to take better care of themselves, such as incorporating some better eating habits and exercising regularly. It may motivate briefly, but in the long haul, they’ll just give up and say it’s impossible. The best motivation to help someone truly take care of themselves for life is to help them feel they are worthwhile as people; therefore, they deserve to take the time and energy to take care of their physical bodies.

One thing that needs to become more common knowledge among doctors and all of us is that fitness is a huge indicator of health. More people should get out and exercise more. Yes. But there are plenty of people who exercise regularly who are not thin. (And on the flip side, there are plenty of skinny people who have never exercised, and on top of that, they eat food that no one would call healthy. But they get a pass in others’ eyes because, hey, they APPEAR healthy, since our society still only equates health with thinness.) And we should be working to get more people fit. But it doesn’t need to be in pursuit of being thin. It needs to be fitness for its own sake.

Let’s just stop the fat-shaming. Let’s stop assuming overweight means miserable and unhealthy. Thinness does NOT automatically = healthy, and fatness does NOT automatically = unhealthy. Fat people are not necessarily unhappy, lazy, or unmotivated. They are people. And how do we treat people? With kindness. As whole, worthwhile individuals.

Get the skinny on our society’s obsession with fat

I’ve decided I’m going to make reading this book a once-a-year activity. Body of Truth is just that helpful. When I read it a year ago before it was even published, I dog-eared pages as I devoured it in just a day or two. I made my husband read it. THIS, this, is what everyone needs to know. I read it again this week in a day, dog-eared more pages, and considered making my husband read it again.

Read my review of the book on Rated Reads.

Now, I was able to keep my review to a reasonable length, but I’m going to write more about the insights I gained by reading Harriet Brown’s book. And I’ll have to split up the info into a few posts so it won’t get weighed down (ha ha). Today I’m just going to address the damage that is done by dieting. And let me tell you, that is one of the takeaways of this book that has me the most furious.

I never considered myself a dieter until the past 7 years or so. I noticed myself gaining when I was nearing 40. But I had actually dieted when I was about 12 by reducing a bit what I ate and not eating desserts. I didn’t keep track of pounds, just slimmed a little of “baby fat,” you could say. And then each time after my three pregnancies I breast-fed, counted calories (stuck to 1800 or so), and kept up my regular exercise. I got back down and a little bit more and was looking nicely trim at 33. I kept it up until, yeah, almost the 40s. Then I saw 10 pounds creep on and got a bit panicked (ha!). Then I happened to move to a new state and put on another 10 pounds, then another 10, then another 10. All of a sudden, I was a lot heavier and was feeling much different than I had before as generally an average-weight, trim-ish person. I dieted first by just really counting calories (and going hungry often) and lost 30, but it only held for a year or maybe two. It came back on, and then I started looking at other options. I did the hCG diet (yes, I know, I never DREAMED I’d be the person to do something drastic like that), but it worked and I at least lost almost 20 pounds and felt a lot better really quickly. That crept back on, and I did it again a year or so later. A couple of years ago, my best friend started doing Atkins, so I tried it. It worked and I did well enough to lose maybe 20 or 25 pounds and feel it was worth the work and sacrifice. My daughter got married, then, last year, and all bets were off. I ate, and I ate, and I ate. I was depressed and stressed and just went straight to food. And what do you know, I am now by far the heaviest I’ve ever been. I went back on Atkins for a few weeks in the fall, then something crazy happened, and then I went back on it this last month, then my grandma died. And I am 20 pounds heavier than my heaviest weight ever before.

So not counting the post-pregnancy “getting back to pre-pregnancy weight” work, I have dieted, lost and gained, at least four main times, plus a few more little times, in the past 8 years. I have been successful. I have been tough. I have focused. And then I’ve either gone back to semi-normal eating (not being hungry) and gained back, or I’ve had some eat-a-lot periods. And what do you know, I’m completely normal. Studies show very low rates of “long-term” success, which is at most watched over 5 years, and almost nothing for rates past that time period (3 years is really even the limit of most “long-term” studies). Evidence also shows that not only do people who diet tend to gain back what they lost, but they gain more on top of that.

So if I had never dieted, I’d most likely just be at my previous “heaviest,” but not the 20 pounds more than that that I am now. I might even be 10 or more pounds below that. And I’d have saved myself a lot of unnecessary work, focus and energy that could have gone to something more productive. I don’t know if you’ve been in this situation or not (likelihood is many of you have been), but this realization absolutely OUTRAGES me.

Brown writes this:

(An) oft-repeated lie about weight and health is that dieting makes us thinner and healthier. At the very least, we consider dieting benign, something that can’t hurt us even if it doesn’t really help. But the truth is, dieting is actually harmful for many of us for all sorts of reasons. And it doesn’t make most of us thinner or healthier. On the contrary.

And she says this: a 2007 investigation (as one example) confirmed that diets don’t work. “The mind-boggling element here is that we’ve known diets don’t work for a long time, and so has the medical establishment.” But still society at large, doctors, individuals … we all think they can work if people just are motivated enough, have enough willpower, work hard enough. And that big fat lie is causing us health problems. Just think: doctors who are all encouraging patients to lose weight may very well be making their patients’ health problems WORSE.

Here are some sobering points Brown tells us:

“Dieting nearly always makes people heavier over time. In one study of Finnish twins, the more diets people went on, the higher their risk of becoming overweight and the faster they gained weight later in life.”
“Dieters tend to have higher levels of cortisol, sometimes called ‘the stress hormone,’ and free fatty acids, and dieters tend to exhibit diminished executive function, (‘strained bandwidth’), maybe because using so much mental energy thinking, worrying, and negotiating about food choices leaves them too distracted to think about much else” — which in turn actually causes us to gain more weight.
Dieting actually has been shown in studies to lead to binge eating. It’s not just psychological, either; physiology on various levels causes us to eat more after dieting, reversing all our work (brain circuitry even changes!).
”An ever-growing body of research suggests that weight cycling, or yo-yo dieting, correlates with higher levels of heart disease, impaired immune function, cardiometabolic risk, insulin resistance, triglycerides, hypertension, and abdominal fat accumulation.”
Studies have “found correlations between weight cycling and disordered eating, higher stress, lower well-being, and less confidence about food and eating. In other words, the more loops of the yo-yo you go around, the worse you feel about your weight, your eating, your very self.”
Each loop of the cycle then is harder. It’s tougher to drop the weight every go-round. Dieting changes metabolism. “People who have intentionally lost weight generally use about 15 percent fewer calories than non-dieters to perform exactly the same activities, which means they gain weight eating fewer calories than non-dieters.” As one research professor told Brown, “We know there’s some sort of derangement of the metabolic pathways, and that has a cascade effect on everything from the hormones involved with obesity to hunger.”

So people who feel fat or have been told they’re fat and need to lose weight feel “incredible shame.” Our whole culture reinforces that. Doctors reinforce that. And it’s not helping anyone. It’s not helping health; it’s not making anyone motivated; it’s not making us feel good; it’s a wicked prejudice that is still allowed. Feeling the outrage yet?

In the next few blog posts, I’ll focus on some of these last ideas and more.

Taking care of myself? Tougher than tough

My last blog post was about my goal to take better care of my health, with a multi-pronged approach. I did well for a few weeks. And then I didn’t.

The catalyst for getting completely foiled, at least for the past month, was my grandmother’s death. It was expected; she was 99, and my family and I had had a good visit with her a few months before, as we knew she was declining after a long and full life. But the day she died, I got drained, emotionally and physically, and I just had to step out of the Atkins diet that seems to work for me, at least scale-wise.

Since then, I’ve wanted to get back into focusing on my eating and doing all the other things necessary to take better care of my whole self. How well have I done? Crappy. That’s what.

Here’s the deal: I’m a mom. I have a husband and four daughters, and they are all in vital stages of their lives. Parenting them now is in a way more demanding than it was when they were little; then it was mainly sleep deprivation and not being able to catch much alone time. Life was just a lot simpler then. Now, there’s so much more of a mental game to it than just being the taxi driver. I’m there. I’m on call. I’m helping figure out all kinds of important things for the next week, the next month, the next year: their LIVES. Even my oldest, who is married and “on her own,” still needs me, and I am still there for her whenever I can be. Even more, our relationship has a new dynamic and dimension, one we’re still trying to adjust to, I think, almost a year on.

Add to my momhood my personal leaning toward taking care of other people all the time, and my own self gets left in the dust. This past month or so has been a pressure-cooker, a meat-grinder, of calendaring and coordinating activities and appointments; responsibilities, obligations, big questions, long to-do lists, and hardly having a moment to breathe and just think about myself. Granted, I know from sad experience (over and over and over again) that is a recipe for disaster, but after all these years, I’m still trying to figure out how to cut the recipe in half or something.

So I sit here again and contemplate how to take care of myself physically: eat better overall, less sugar, more fruits and vegetables (which I do really love and eat probably more of than the average person, but still)… all that jazz. Figure out how to decrease emotional eating (THAT’s a biggie). Mix up my exercise (I’ve been dedicated to working out for 25-plus years and I really enjoy it and how it makes me feel), do some more fun and different things. The pressure cooker of the past month or two is likely to be turned down a few notches for the near future. Maybe I can make some strides on me.

What I know is this: appropriate self-care can take a lifetime of practice.

How much of life do we ‘sign up for’?

It’s difficult for me as a mother, period, and as a fellow mother of a daughter with Down syndrome, to read the words of Hallie Levine, who says she would have aborted her daughter during her pregnancy if she’d had the diagnosis then. Sure, she says now she’s grateful she didn’t, but she asserts she should have been able to and that others should be able to do so as well. Aside from all my other feelings on the subject (and I have many), I’m going to focus on one phrase she used: “I never signed up for this.”

Having heard a man whose wife is now paralyzed from the midsection down say the same thing in regards to being married, and other people in tough situations make the same remark, it strikes me that we live in a society where we really feel we should only face things we’ve agreed to. We’re so focused on freedom of choice, on contracts, on knowing so much about outcomes and possibilities, that we feel we can and do control our lives.

Assuming some equal opportunity (and that’s a topic for another blog post as well), let’s say we all get to choose the level of education we attain and what we study. We get to choose our line of work. We choose our marriage partner, if we marry. We choose how many children we have and how to raise them. We plan for and choose when to retire, and what to do in retirement.

We “sign up for” these things. We sign on the dotted line for many of them. Life is a series of contracts that we choose to accept or deny. And we’ve written escape clauses into the contracts. Many of us spend years choosing whom to marry, and when to do it, but even a few years into the contractual relationship, divorce is readily available to let us out of that signup. Pregnancy? We can avert it with birth control, we can terminate with abortion.

But how about we step back a moment and consider that life is not really within our control. It’s not just one contract after another. And when events in our era are finalized in this manner, stamped with a legal seal of approval, they often get boiled down to simple terms that don’t fully encapsulate the “real deal.”

Life is messy. It’s complicated. It involves all kinds of unpleasant surprises that we tend to think of as happening to “other people.” Even aging and death seem distant to us today, that somehow they’ll never happen to us. But they do. And the older we get, the more we experience, the more we realize that death will happen. Aging will happen. We’ll get sick, we’ll be limited in some way physically. These same things will happen to our spouses, and eventually our children.

Levine says she wouldn’t want to see someone else “forced into” her situation. But simply being alive forces us into all kinds of situations we’d rather ignore or pretend don’t exist or won’t happen to us. Choosing to get married leads us down a path in which we may very well have to care for a spouse who becomes disabled physically or loses his memory, among a host of other scary possibilities. Choosing to have children leads us down a path in which we may care for a child with a physical or intellectual disability or mental illness or any number of possibilities we never envisioned for ourselves. But those paths are real.

I don’t deny that it can be overwhelming at times to parent a child with Down syndrome. That’s just one of those “scary possibilities” I know firsthand about. I grieved for a few days when I received the results of my amniocentesis. It was an experience I didn’t count on. It was a loss, the loss of a “typical” child-rearing experience I had counted on. But life presented me this path, and I’m on it.

I don’t have any idea what other challenges lie ahead of me on life’s path, as a person, as a wife, as a mother. I won’t deny that I’ll grieve, be scared, be overwhelmed, be frustrated … any number of normal reactions. And I definitely won’t “sign up for” any of these challenges. But that’s life. And we’re all in it together. We can’t (and, yes, while many disagree with me, I heartily say “shouldn’t” when it comes to aborting in most cases) prevent these difficulties. We can learn from them, do our best to deal with them, and support each other through them. I hate to see others go through tough times, but I’ll eagerly “sign up” to lend a shoulder to cry on, a hand to help.

Let’s stop making ‘fat’ a bad word

It occurred to me yesterday that I don’t have to use “fat” as an adjective for myself. No one does. It’s another label, and while labels are necessary for products on a shelf, they are dangerous for people. (How about this?: “CAUTION: This label is toxic for your emotional health.”)

We don’t say someone “is cancerous,” just that they “have cancer.” We are striving to say someone “has Down syndrome” (or some other disability) rather than “is a Down syndrome person.” Because that label does not by any stretch describe the whole person.

So I am not fat. I have fat on my body. Right now, I have more fat than I’d like to, because I’m uncomfortable, and part of the reason I have more fat than I’d like is that I’ve been resorting to emotional eating for a few months, and the quality of some of those foods (sugary) is making my cholesterol a bit higher than I’d like. And those are the facts.

The problem with words is that they often become loaded with associated meanings that weigh them down far more than their original, “true” meaning. Some words even become so weighed down with other associations that they change meaning entirely. This happened with the word “gay.” No longer do we even use that to mean “happy or lively.” We only use it to portray someone as homosexual.

What meanings have become tied to the word “fat”? I’d like to offer these: ugly, disgusting, lazy, shameful, embarrassing, gluttonous, gross. I’m sure you can come up with many more, and they’re all negative. What’s happened is that there is a stigma attached to the word “fat,” and that stigma, rather than “helping” obese people to get healthier through diet and/or exercise, etc. (and that’s a WHOLE OTHER topic entirely), is actually hurting us all. The stigma, the shame and embarrassment of being labeled “fat,” is actually making it even harder for those who would like to make a change in their health to start an exercise program or change a few bad habits in their diets. Shame doesn’t motivate very well or for very long. Researchers Lexie and Lindsay Kite at Beauty Redefined put it this way:

(R)ampant self-loathing, which can be partially attributed to women’s self-comparisons to unrealistic and unattainable body ideals in mass media, may very well encourage women to give up on achieving healthy body weights altogether due to the perception that “healthy” or “average” is unreachable. Studies help to confirm this idea.

It’s actually true that the better you feel about your (whole) self — including your body — the more motivated you are to take care of it in every way. But if you feel shame and all those bad words associated in our culture with “fat,” the less motivated you will be to take care of yourself.

So can we shift the stigma, remove it altogether? Can we snip the associations tied to the word “fat”? It’s going to take some hard work on everyone’s part, but it is possible. Because what we’re “doing” right now — shaming the majority of our population that’s deemed to be overweight — isn’t working. It isn’t working to make anyone feel good about themselves and it isn’t working to get more people exercising, which is truly the goal. Losing weight isn’t really the “magic bullet” we think it is, but more and more we’re learning that being fit is what really counts.

Let’s take the first step toward a healthier and happier society and cut the “fat” talk right now.

Just don’t say ‘if you just…’

Ever had a problem; been frustrated, angry or a little depressed; felt stuck? Ever had someone tell you, “Well, if you just did this ______, you’d be fine?”

I’ve had people say that to me. And it shuts me up. It doesn’t help me, but it stops me from talking to those people. I don’t know if I’ve ever said it to someone else; I hope I haven’t. I know I’ve thought it. But at least for a long while now, I’ve known better than to say it out loud. And I’ve tried to remind myself of the truth:

Any one of us can have problems and challenges that, compared with someone else, somewhere, can look tiny, easily surmountable. Sometimes it’s helpful to realize others have it worse. If we look at our lives with appreciation and gratitude for the good things we have, it can help. But usually, trying to tell ourselves logically (or have someone else “helpfully” do so) that our problems shouldn’t be such a big deal does squat for our feelings.

Here’s why: we are allowed to feel how we feel. We’re meant to feel. We’re meant to have feelings in response to life situations, whether they’re kind of everyday things or unusual things. We’re meant to have all kinds of feelings all over the spectrum of emotion. And those feelings include “bad” ones. We’re meant to just feel those feelings. And what usually happens is once we allow ourselves to feel them, really feel them, we can move on to other feelings about other life events.

The problem is when we stunt that natural process by telling ourselves we shouldn’t be feeling “so bad” or by having someone else tell us so. It stops us from moving through the feelings, talking or thinking through the ideas and emotions.

Same applies to things we could or should be doing or doing better, not just what we’re feeling. Likely we’re comparing something we’re just naturally not so good at with something that really is easy for someone else, so we feel inadequate. Or we could compare something that’s easy for us with something someone else finds more challenging. And we say those dreaded words: “Just do ___.”

We all not only have a complex mix of weaknesses, strengths, natural talents and acquired skills, but we are at different stages in life. Something that was hard for us 20 years ago might be much easier now. Ditto for those around us. And something that was easy for us a year ago might be harder now because our circumstances are more challenging in other areas or we’re struggling with events that are zapping our emotional strength.

For me, I’m finding that I am feeling a general sadness in one layer of myself/my life because my oldest daughter got married a few weeks ago and moved out. But I hate to say anything to anyone because it just “seems silly.” She lives only an hour’s drive away and we can talk and visit. Every other parent my age has already had children go off to college or serve as missionaries for our church, during which time they’re gone for a solid 18 or 24 months and only generally in contact via email or letter once a week. So I feel ridiculous saying out loud that I’m grieving a little over the “loss” in a way of my first, amazing child. But it does make me sad she’s not around all the time anymore. I miss the daily interaction and talks and jokes and hugs and smiles and everything that was our relationship while I was raising her. Things are changing, have changed. It’s real to me. But I don’t want to say anything to anyone else for fear of being compared, of essentially having my feelings belittled because their “loss” is bigger. Their child is across the country or across the world … or something “bigger.”

I also find that I feel down on myself because I have generally been doing well with eating healthy, cutting out sugar and a lot of carbs, this past 10 months or so. But the past month, since right before my daughter’s wedding and since, I just haven’t had it in me to “diet” properly. I’ve been eating junk, and lots of it, and I feel physically yucky. I feel bad because I had done so well. But I also realize that circumstances are different: I’m “recovering” from all the work and stress of preparing for my daughter’s wedding; my kids are now out of school for the summer and my “alone time” is a lot less; I’m adjusting to the change of our family dynamics, and I’m trying to “play catch-up” for some work and things that got put on hold with all I did for the wedding (because I am not just an awesome mom but very capable in planning things and organizing, and the wedding was awesome too). In short, it takes a lot of work for ME to eat well. And even though I feel yucky physically and would really like to feel better, I have to have the emotional and mental energy to focus on taking care of myself, truly properly. Others might say (and heaven knows plenty of “professionals” and bloggers say) “just do it.” Just stop eating sweets. Just stop emotional eating. Right now, for me, it’s akin to saying, “Just stop smoking. It’s so easy.” I’ve never smoked, but I have certainly heard how hard it is to stop.

I’m trying to allow myself to feel, to validate my own feelings. I’m talking to a few trusted friends who are kind enough to listen and validate as well. I’m also trying to allow myself not to take it too hard that I’ve gained a few pounds and am having a hard time with the junk food. Because I also know that I’ll be fine soon enough and will get back to where I should be. If I’m not there at this very moment, today, it’s OK. I will be soon. And that’ll be OK.

In short, I’m giving myself permission to feel, to not be “my best.” And I strive to do that for others. When they talk about feelings or issues they’re struggling with, I know that even if they sound “easy” for me, they’re not easy for them. I nod, I listen, I hug. I say, to them and to myself, “That is hard. I’m sorry you’re going through that. I love you and care about you.” And it’s true, and that’s really all it takes.

To my pregnant and postpartum friends: take that weight off your shoulders, not your belly

I am about to turn 45 and haven’t been pregnant for almost 13 years now, but I have a number of wonderful younger friends who are still firmly in their childbearing years. I am writing today to them.

Dearest friends, I see your adorable posts on social media and am thrilled with all the sweet experiences you are having now, just as I remember enjoying a decade and a half ago. I can’t help but “like” your comments and pictures of growing bellies and ultrasounds and new babies. What an amazing period of life you are in — and difficult and challenging and exhausting and … the list goes on. The joy is equaled by the fatigue and all the other challenges that can come from pregnancy and taking care of an infant.

But I’m going to say this with all the kindness and tenderness I can show in the mere printed word (hopefully you know me well enough “in real life” to be able to hear me saying this): please stop worrying about your weight.

I have seen your posts over the course of months and been concerned for you when I’ve noted multiple comments about how much weight you’ve gained (in exact number of pounds) and how you were already planning during your pregnancy to lose it post-delivery (yes, I see your Pinterest boards too). I’ve worried a little for you when you talked about your weight a mere two weeks after giving birth.

cathy pregnant — This was me just before giving birth to my third child. Do celebrities ever look like they’ve swallowed a torpedo?

Believe me, I was there. Three times. I gained the exact same number of pounds each pregnancy: 38. And each was different. I started out about 25 pounds overweight with my first and ate pizza almost nonstop and didn’t exercise at all. With my second, I started out maybe 10 pounds overweight and exercised for about the first six months and ate a little better. With the third, I was at just about an “ideal” weight starting out and exercised up until a couple of days before delivery (I looked pretty ungainly, I’m sure, with my huge belly on that elliptical machine, but it felt good). I still gained the same amount of weight each time. And every single time postpartum, I breast-fed my girls and counted calories (keeping them to a reasonable amount for nursing) and exercised after six weeks had passed after delivery. On the last one, I got back down to a really good weight for me six months after my baby was born.

I went into all that detail to show you that, yes, I’ve been there. And for me, losing weight postpartum was work. I felt the pressure. Yes, I hated seeing the pounds pile on during each month of pregnancy, especially after working so hard to take them off during previous ones. I feel bad saying that now because I wish I hadn’t been worrying about something so superficial as how I looked while I was growing the amazing human beings I’m now proud to call my daughters. But the (sad) truth is, I would feel the same way again even now if I were to be pregnant again. I struggle more now with my weight since I’m older; it’s even harder now! And I struggle with the struggle. I want to be healthy but I don’t want to allow myself to be caught up in our society’s “religion” of thinness, of image, of appearance. I am working to be kinder to myself and try to separate myself from the bombardment by media and culture that tells me how I look is a huge component of my worth.

Because this is the truth, one that goes completely opposite to the messages we see and hear all the time in our media-saturated culture: My worth is not tied in any way to how I look, whether it’s how much my body weighs or how many wrinkles I have (or that aging neck that’s manifesting itself) or how gray my hair is.

And that’s true for all of you. Even though society is pretty much shouting from the rooftops (and our ever-present computers and handheld devices) that we’re supposed to be thin, that it is possible (because, hey, look at the celebrities!) during pregnancy, except for a cute “bump,” and then entirely thin (no more bump) immediately after giving birth, and thin all the rest of our lives, that is just A LIE. Pregnancy changes us. Life changes us. And we’re all different anyway. We all have different body shapes and shouldn’t be worrying about trying to fit our square or triangular or hexagonal pegs into round holes. People come in all different shapes and sizes and colors. Make the best of your own shape, size and color. Take good care of your body. Value it for what it can do for you, for the part it plays in who you are as a whole. Treat it kindly and with respect. But don’t spend a disproportionate amount of your time and energy trying to make it what society says it should be. It’s only going to make you more exhausted than you already are, and when you are pregnant or taking care of a baby, you have NO ENERGY TO SPARE. You know this.

So, my dear friends, stop posting about your weight and size. Stop worrying about it. Take gentle loving care of your body and your psyche. Delete your Pinterest “Fitspiration” board. Those things are just plain dangerous. And please keep posting those baby pictures. I can’t get too many of those.

A little can go a long way toward helping others

I’ve written before about how I wish I could do more to give to others, whether it’s money or time. So many worthy charitable organizations exist to address all kinds of needs, and so many individuals and families need all kinds of things. So I was heartened and inspired by a fantastic book I read last week, A Path Appears: Transforming Lives, Creating Opportunity, by husband-and-wife writers Nicholas Kristof and Sheryl WuDunn. In short, this couple wrote that they often long to give and help those in need around the world but have been unsure of the best ways to help and the best organizations to give to or through. So they’ve “done their research” and created a book that shares what they have learned.

Their conclusions: giving not only benefits others, but it is a source of great satisfaction and fulfillment for those who give. And, even better, just a small donation of time or money really can make an impact, more than we imagine. Then the authors give specific tips on finding a charity to hone in on: 1) “Find an issue that draws you in and research it. … Choose one that speaks to you.” Then do some research yourself to find “ratings, reviews, and critiques” of the charity. 2) “Volunteer, get involved, or do something more than just writing checks.” Use your talents and skills in a place where they will fit and can be “put to good use.” 3) “Use your voice to spread the word or advocate for those who are voiceless.” Kristof and WuDunn write that this step is often overlooked or given short shrift, but it is vital to not only “talk up” what we know and do some “PR” but also to “hold governments — our own and others — accountable for doing their share.”

Not only do they give tips on how best to get involved, but they share a list of “useful organizations” that “do strong work in education, crime and violence prevention, family planning, public health, and quite a bit more.” They emphasize that this isn’t a “screened list” but just groups they have seen personally doing “impressive work.” It’s a few pages long and certainly a nice place to start.

I wrote quite a bit about the book on my book review site, Rated Reads, so you can read more details there. I just can’t say enough about how inspiring this book is. The more of us who get inspired to help and figure out the best ways that we can make a difference, the better for the whole world!