My 600-lb Life on TLC

I am inspired by others' weight-loss success stories, so I often watch television shows featuring diet, exercise and healthy living. I've written extensively about my personal need for broadcast motivation. I see others succeeding and it makes me think I can do it, too.

So I was very anxious to watch a new short-run series on TLC called "My 600-lb Life". It's a four-episode series that follows a different person each night on his or her weight-loss journey via gastric bypass. Each patient begins weighing at least 600 pounds. It premiered Wednesday night and featured Melissa, a woman from Ohio, living in Texas, who started out weighing in at 653 pounds.

In one of my first blog entries, before my surgery, I said "...before it gets to the point where I need assistance in walking across the floor, I have to do THIS so I never find TLC knocking at my door wanting to do a special on the shut-in. No, never, not me." It was a serious fear of mine. I could feel myself falling down the rabbit hole and knew something drastic had to be done. At my highest weight, I was hovering around 500 pounds.

Melissa can still walk but it's not easy. She requires assistance to do the most basic of things, intimate tasks which she embarrassingly talks briefly about later in the broadcast. Her husband is her lifeline. He is more caretaker and nursemaid than lover or partner. This was also a big fear of mine...I did not want to put Erich in this situation. Ever. I could see it coming like the light on a locomotive still far away but barreling down on me, fast. And me, standing in the darkness in the middle of the tracks, terrified but knowing I needed to swerve or die.

In one of the first scenes, Melissa is on a scooter in a grocery store - because she cannot walk around long enough to shop - and people are staring; one man makes a smart remark and she cries. Again...I could see this coming at me. I could see this being my life. I resisted the scooter in stores and walked through the pain, in agony and red-faced, sweating in January, because I didn't want the scrutiny. There are so many things that resonated with me in the two hours of this show that I can't write about all of them or we'd be here all day long.

It seems she got much the same after-care advice I did: Protein, protein, protein. Limit refined carbs and sugar, especially at first. They follow her through seven years of ups and downs. It's quite a journey.

She had two skin-removal surgeries, one of which removed 60 pounds and another that took off 30. And she still had some loose skin issues. Kind of makes mine seem trivial in comparison. It seems she didn't experience many complications from the gastric bypass beyond initial nausea (same with me). However, complications arose after the second surgery but mainly because she wasn't eating properly and became malnourished. I've said it over and over...patient compliance is KEY to success with any surgery, including gastric bypass.

Two major things I want to say about the show: A big plus: The relationship with her husband is explored quite a bit and I was glad to see that. Her husband had problems adjusting to this new woman who wanted to do things for herself now, who wanted to get out and enjoy her new life. I've also written about the minefield that can be a post-weight-loss marriage/partnership. People get accustomed to living a certain way and when that gets turned upside down, it can be a lot to handle. Your partner MUST get on board with it or be pushed overboard. It's that simple. Please, please, please do not hold yourself back. Have some sympathy for the fact they will also need time to adjust, but not at the expense of yourself and your success. I question Melissa's decision to have a child with her husband and stay with him through his treatment of her. When she discovers his infidelity, her response is "well, at 600 pounds what do you expect?" You expect RESPECT. Kindness and loyalty. It's so sad how a person's self-esteem will make them react to pain inflicted upon them. They think they deserve it. Very sad. It's not about the 600 pounds. It's about his character, which he proves to her again and again. Yet she still stays.

A big minus: In the whole two-hour episode - which, as I said, follows her over the course of seven years - we never see Melissa at a gym. Not working out to an exercise DVD, nothing. I fear this will perpetuate the myth that she simply hopped onto an operating table and lost nearly 500 pounds. She alludes to this way of thinking and debunks it, but still. I kept waiting for the sweat and never saw any. HUGE fail, in my opinion. You have to work at weight loss, no matter what the method is. Yes, you will lose weight with gastric bypass no matter what you do in the first few months. But you won't continue that loss or maintain it without either hard work the healthy way or transferring your food addiction to other damaging behaviors like anorexia.

After her weight loss, Melissa found work as a patient liaison at the bariatric clinic at which she had her surgery. It was her job to talk to patients pre-op and get them ready for the journey ahead. She led group discussions and private meetings; they even showed her going into peoples' homes and guiding them on what foods to eat. THIS is what I want to do. I've known it for a long time. To help people on their way to a new life would be the ultimate dream job. I'd said to myself this was one of my new year's resolutions - to find work like this. There's a clinic about 30 minutes away from me and that's where I'll start. Somehow! I don't know the first thing about the place - never even been there - but I need to take some baby steps towards this new goal and make it happen.

The show re-airs on Monday at 9 (EST) and a new episode, with a new patient, airs Wednesday night. I have so much more to say about the show but this blog is long enough. Besides, I'm sure I'll be writing more about the new episode and each one after that.