Friday, January 11, 2019

The Weight I Carry

I weigh 460 pounds.

Those are the hardest words I’ve ever had to write. Nobody knows that number—not my wife, not my doctor, not my closest friends. It feels like confessing a crime. The average American male weighs about 195 pounds; I’m two of those guys, with a 10-year-old left over. I’m the biggest human being most people who know me have ever met, or ever will.

The government definition of obesity is a body mass index of 30 or more. My BMI is 60.7. My shirts are size XXXXXXL, which the big-and-tall stores shorten to 6X. I’m 6 foot 1, or 73 inches tall. My waist is 60 inches around. I’m nearly a sphere.

Those are the numbers. This is how it feels.

I’m on the subway in New York City, standing in the aisle, clinging to the pole. I live in Charlotte, North Carolina, and don’t visit New York much, so I don’t have a feel for how subway cars move. I’m praying this one doesn’t lurch around a corner or slam to a stop, because I’m terrified of falling. Part of it is embarrassment. When a fat guy falls, it’s hard to get up. But what really scares me is the chance that I might land on somebody. I glance at the people wedged around me. None of them could take my weight. It would be an avalanche. Some of them stare at me, and I figure they’re thinking the same thing. An old woman is sitting three feet away. One slip and I’d crush her. I grip the pole harder.

My palms start to sweat, and all of a sudden I flash back to elementary school in Georgia, standing in the aisle on the school bus. The driver hollers at me to find a seat. He can’t take us home until everybody sits down. I’m the only one standing. Every time I spot an open space, somebody slides to the edge of the seat and covers it up. Nobody wants the fat boy mashed in next to them. I freeze, helpless. The driver glares at me in the rearview mirror. An older kid sitting in front of me—a redhead, freckles, I’ll never forget his face—has a cast on his right arm. He reaches back and starts clubbing me with it, below the waist, out of the driver’s line of sight. He catches me in the groin and it hurts, but not as much as the shame when the other kids laugh and the bus driver gets up and storms toward me—

and the train stops and jolts me back into now.

I peel my hands from the pole and get off. I climb the stairs to the street and step to the side to catch my breath. I’m wheezing like a 30-year smoker. My legs wobble from the climb. I’m meeting a friend near Central Park, at a place called the Brooklyn Diner. I’m 15 minutes early, on purpose, because I have to find a safe place to sit.

The night before, I had Googled Brooklyn Diner interior to get an idea of the layout. Now I scan the space like a gangster, looking for danger spots. The booths are too small—I can’t squeeze in. The barstools are bolted to the floor—they’re too close to the bar, and my ass would hang off the back. I check the tables, gauging the chairs. These look solid—the chair seems okay; yep, it’ll hold me up. For the first time in an hour, I take an untroubled breath.

My friend shows up on time. By then, I’ve scouted out the menu. Eggs, bacon, toast, coffee. A few bites and the shame fades. At least for a little while.

By any reasonable standard, I have won life’s lottery. I grew up with two loving parents in a peaceful house. I’ve spent my whole career doing work that thrills me—writing for newspapers and magazines. I married the best woman I’ve ever known, Alix Felsing, and I love her more now than when my heart first tumbled for her. We’re blessed with strong families and a deep bench of friends. Our lives are full of music and laughter. I wouldn’t swap with anyone.

Except on those mornings when I wake up and take a long, naked look in the mirror.

My body is a car wreck. Skin tags—long, mole-like growths caused by chafing—dangle under my arms and down in my crotch. I have breasts where my chest ought to be. My belly is strafed with more stretch marks than a mother of five. My stomach hangs below my waist, giving me what the Urban Dictionary calls a “front butt”—as if some twisted Dr. Frankenstein grafted an extra rear end on the wrong side. Varicose veins bulge from my thighs. My calves and shins are rust-colored and shiny from a condition called chronic venous insufficiency. Here’s what it means: The veins in my legs aren’t strong enough to push all the blood back up toward my heart, so it pools in my capillaries and forces little dots of iron up under my skin. The veins are failing because of the pressure caused by 460 pounds pushing downward with every step I take. My body is crumbling under its own gravity.

Some days, when I see that disaster staring back, I get so mad that I pound my gut with my fists, as if I could beat the fat out of me. Other times, the sight sinks me into a blue fog that can ruin an hour or a morning or a day. But most of the time what I feel is sadness over how much life I’ve wasted. When I was a kid, I never climbed a tree or learned to swim. When I was in my 20s, I never took a girl home from a bar. Now I’m 50, and I’ve never hiked a mountain or ridden a skateboard or done a cartwheel. I’ve missed out on so many adventures, so many good times, because I was too fat to try. Sometimes, when I could’ve tried anyway, I didn’t have the courage. I’ve done a lot of things I’m proud of. But I’ve never believed I could do anything truly great, because I’ve failed so many times at the one crucial challenge in my life.

What the hell is wrong with me?

What the hell is wrong with us? As I write this, the Centers for Disease Control and Prevention estimates that 79 million American adults—40 percent of women, and 35 percent of men—qualify as obese. The obesity rate among American children is 17 percent and climbing. Our collective waistline laps over every boundary: age, race, gender, politics, culture. In our fractured country, we all agree on one thing: second helpings.

As every fat person knows, there’s no such thing as a cheap buffet—you always pay later, one way or another. Fat America comes with a devastating bill. According to government estimates, Americans pay $147 billion a year in medical costs related to obesity. That’s roughly equal to the entire budget for the U.S. Army. But the money is just part of the cost. Every fat person, and every fat person’s family, pays with anger and heartache and pain. For every one of us who can’t shed the weight, there are spouses and parents and kids and friends who grieve. We carve lines in their faces. We sentence them to long years alone.

I know this from experience. I also feel it like a burning knife right now. Because my sister, Brenda Williams, died seven days ago, on Christmas Eve. (...)

Brenda was 63 and weighed well north of 200 pounds. Her feet swelled so much that she could hardly wear shoes. Her thighs cramped so bad, with so little warning, that she was afraid to drive. For years, she dealt with sores on her legs caused by the swelling. They leaked fluid and wouldn’t heal. In late December, one of the sores got infected. Brenda was tough, so by the time she admitted she was sick, she was in deep trouble. Ed took her to the emergency room in Jesup, Georgia, as Alix and I were heading to Tennessee to spend Christmas with Alix’s folks. My brother called at two in the morning on Christmas Eve and said that things were getting worse. We tried to sleep for a couple of hours, got up, and got on the road. The infection turned out to be MRSA. It spread so goddamn fast. We were somewhere outside Asheville when my brother sent a text: She’s gone.

The funeral was on my mom’s 82nd birthday. She cried tears from the bottom of the ocean. She lived next door to Brenda and Ed for almost 20 years—we moved her there after she retired. She spent so many nights telling stories around Brenda and Ed’s dining-room table. Now she won’t go back in their house. All she can see is the empty space where Brenda used to be. The infection was the official cause of Brenda’s death, but her weight killed her, sure as poison.

What happens when someone close to you dies? People bring food. (...)

Guys like us don’t make it to 60.

Some of us rot away from diabetes or blow out an artery from high blood pressure, but a heart attack is what I worry about most. My doctor likes to say that in a third of the cases of heart disease, the first symptom is death. Right now, my heart tests out fine. But I can hear it thumping in my temples, 80-some beats a minute even when I’m resting, and I know I make it work too hard. Sometimes, when it’s quiet in the house, I close my eyes and listen to it strain, praying that it won’t just stop like a needle lifted off a record. Every day I wonder if this is the day I might keel over in my office chair or at the bookstore or (God help me) at the wheel of my car. At 460 pounds, I’m lucky to have made it this far. It’s like holding 20 at the blackjack table and waving at the dealer for another card. Without a miracle, I’m bound to bust.

by Tommy Tomlinson, The Atlantic |  Read more:
Image: Courtesy Tommy Tomlinson