Emma Burnell 

How weight loss surgery saved my life

I have felt fat since I was eight years old. But a gastric sleeve procedure gave me the head start I needed and finally put health and happiness in sight
  
  

Emma Burnell
‘The feeling of there being choices available to me that there never used to be is exhilarating’ ... Emma Burnell. Photograph: Jill Mead/The Guardian

I don’t remember a time when I didn’t feel fat. While I started piling on the pounds in my late teens, I was teased as young as eight for being chubby. The idea stuck. I remember overhearing my mum saying that she was worried I would get anorexia: I didn’t even know what that was. Suffice to say, I never did. I felt fat long before I truly had a fat body, but eventually the latter caught up with the former. I tried to diet on and off from my late teens to my late 30s, but nothing stuck. I was deeply, painfully unhappy.

I didn’t have a boyfriend throughout my 20s. Then, aged 30, I met my now ex-husband online, but that relationship was not without its complexities and I continued to gain weight. We got married in 2008. When we split up in 2013, I lost control and lived on junk food for a summer. I have always been an emotional eater and it was a vicious cycle. I was unhappy because I was fat, I ate because I was unhappy, then I gained weight because I ate.

Then I made a decision to save my own life. I went to my GP and, as always, they asked about my weight – at 162kg (25 and a half stone), I was morbidly obese. This time, the doctor suggested weight-loss surgery.

At first, I balked. I had never been to hospital for anything more serious than a broken bone, never stayed overnight or had surgery. At my weight, there were serious risks of complications and a small but real possibility I could die on the table. I remember walking down the street to work and stopping in my tracks at the thought of that.

But as I walked down the street I was in agony – a fact I never shared with anyone, although I suspect they knew. I couldn’t walk for more than a minute without being in extreme pain. My back would seize up and my shins would burn from the strain I was putting them under. I knew I had to do something.

So, in December 2013, I went to hospital for gastric sleeve surgery. This is where a large part of your stomach is cut away so you can eat only small portions before you get full. The surgery took four hours. Afterwards, I had to be woken every few hours and made to walk up and down the corridor because of the risk of deep vein thrombosis. The discomfort was bad for a week and I had a month of recovery before I could return to work.

People can be really weird about weight-loss surgery. Some think it is a “cheat”. Others think that I have wasted NHS money, despite the fact that I’ve probably saved them a fortune in treating the complications that might otherwise have arisen from my obesity. As a society, we make such moral judgments around weight gain and loss and the right and wrong ways of doing it. People treated me as a failure when I was fat despite my good job and life. People laud my weight loss when they see it, but there is sometimes a sense of disappointment in me when they realise it wasn’t done through what they determine as willpower.

But it was. The surgery is only the start. I have met people for whom it didn’t work; who cheated the surgery. Having the surgery doesn’t guarantee success – it gives you a head start. You still have to commit to your weight loss and work bloody hard at it.

That head start was what I needed. A chance to see a difference quickly and to turn my downward spiral into a positive feedback loop. One month after the surgery, I was walking for 30 minutes or more without pain. I now walk everywhere I can, trying to get at least 10,000 steps a day.

The stomach is a muscle, so after a while it stretches back to a normal size. I can now eat standard portions of food (although nothing like what I used to consume). I am not yet at my ideal weight and have joined Slimming World to get to my target, which is 16kg lighter than I am now.

I used to be a size 30; now I am a size 14. I used to loathe shopping; now I love it. The feeling of there being choices available to me that there never used to be is exhilarating. I used to avoid walking with others because the pain I was hiding made me quiet and unsocial; now I regularly tramp around the marshes near my home for miles with family and friends. Whereas I used to go home alone, now my life is, at times, full of dating and fun.

I have a confidence I never used to. I know things about me that were hidden under layers of fat and insecurity. I like my face now it has angles. I am even learning to like myself. It is hard and I don’t know if I will feel completely at ease with myself, even when I do achieve that final loss. But I no longer hate myself – and that is a powerful feeling.

 

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