Saying Goodbye

Sometimes I just feel I need to write to get stuff out of my head and onto paper, it’s my way of processing things. I’m not a big talker but writing can be cathartic even if no-one is listening.

On Tuesday 16th August I got 5 missed calls from my mum. That in of itself was not unusual, I keep my phone on vibrate so I don’t get interrupted when I’m on work calls. Sometimes it would be something like a technical issue with her TV or phone or to transfer money to my sister for her.

I hadn’t seen her that weekend just gone, which was unusual for me, I normally try to see her once a week but to be honest I was feeling quite down and I knew my brother was taking her to Blackpool on Saturday so I thought I’d give herself, or more honestly, myself, a break.

When I saw the missed calls I rang her back and this time was different. It wasn’t something I could just fix for her. She told me my aunty was dying. I could hardly speak, the words just wouldn’t come out. I tried to hold back the tears and be strong for her. It just came out of nowhere.

I knew my aunty was in hospital. She caught covid but I just assumed she would get better. I mean, this was Mary, the strong one that was always looking after other people. I just couldn’t take it in at all.

My mum explained that she had perforated her bowel, which needed urgent surgical intervention but because her lungs were very weak with covid and COPD, they didn’t think she would survive the surgery so were refusing to operate.

Later that night I wrote a text message to her. We very rarely exchanged text messages but I wanted her to know that I loved her and how grateful I was for everything she had done for our family over my lifetime. I didn’t know whether she was still conscious or not or whether she would ever see the message.

I was torn down the middle, part of me wanted to go and see her but part of me felt like that would be selfish because I’d be getting in the way of her kids. No matter how upset I was, this was a million times worse for her kids to lose their mum and for her husband, my uncle to lose the love of his wife, they had been together for 50 years and married for 47.

In the end I decided I had to be there for her, not just for my sake but for my mum, who was very close to Mary. I didn’t know what to expect or what I was going to see. I can’t remember whether it was was the Thursday or Friday, it was all such a blur. Time ceased to be meaningful but I picked mum up and we went to the hospital together.

The good thing was she was in her own side room, not in a bed on an open ward so we had a degree of privacy. She was sat up and talking, no oxygen mask or tubes. I couldn’t understand why they wouldn’t treat her when it seemed to me like she’d have had a good chance. Her breathing wasn’t laboured, I’d seem mum in worse states breathing wise.

The first thing I remember her saying was that “I stink of piss, don’t I”. She didn’t. She still had her sense of humour and no matter what she was thinking inside, she almost seemed upbeat. She acknowledged my message to her, which my mum had read out to her at some point. She said it was very nice. I did feel a sense of relief knowing that she had read my message, I tried to fight back the tears again but couldn’t speak but did eventually manage to tell her I loved her.

My aunty Gel was there, my cousin’s were there. I gave them all big hugs. I didn’t have any words that could sooth them, all I could do is be there and acknowledge their pain.

One of the most heart breaking things was seeing my cousins Liam and Eoin struggling to hold back their own tears. Liam is a Royal Marine, a big tough strong stoic young man and Eoin is about to start medical school and working as a carer. Hearing Liam trying to tell his Aunty he loved her and saying goodbye was really tough. They had a very strong bond. She did with all her nieces, nephews, children and grandchildren. She was the heart of the family.

I was also so proud of my cousin’s Vikki, Katie and Lil. Vikki herself is going through a very difficult time but she was so incredibly brave and strong for her mum. She will make an excellent nurse one day when she’s ready. She had made this beautiful poster our of a pillow case that all Mary’s kids and grandkids had signed so Mary could see that the whole time instead of just a toilet door. They all kept so strong and positive for their mum, sharing memories, talking, playing music on their phones that Mary liked.

They hardly ever left her side and they must have been exhausted. They never made me feel like I was getting in the way and I would have totally understood if they wanted to just be alone with their mum and dad.

I tried to make myself as useful as possible. I would go grab the nurse when my Aunty needed more morphine or anti-sickness medication. I went to gather chairs as there were so many people in that little room and the concrete floors are very unforgiving on the knees and you feel awkward just standing there. In reality there was very little I could do practically to help. I just wish I had magic powers to be able to take away her pain and fix her bowels. it’s a very helpless feeling, so I just did what I could, knowing it was completely inadequate.

My aunty was nil by mouth. Eating or drinking caused more pain as her bowel was blocked and there was nowhere for it to go. She had some kind of gel that helped with her mouth getting dry and she’d also swill drinks to wet her mouth then spit it out.

I found it very hard to eat that first day after visiting her. Just the thought that my aunty had already eaten her last meal and drank her last drink, I ate a sandwich but it just felt wrong to be eating when she couldn’t. There was a subway inside the hospital, that was about it in terms of food other than vending machines but just the smell of it was nauseating to me.

I don’t know how long we were on the ward with her that first day, all sense of time and chronology just stopped. I felt very guilty dropping my mum off home and leaving her alone that first night and every time we visited, we didn’t know if it was going to be the last time.

It’s horrible and you feel so many conflicting emotions. Part of you wants to spend as much time as possible with that person you love, you want to be there for them but another part of you hates to see them suffering and just wants it over so they are no longer in discomfort.

During the time we were there, many people came to see Mary. Not just family but friends from the past who had worked with her or been trained with her. One lady told us horrific stories of her fight for custody of her kids and how Mary supported her through it all. Another lady whose relative had been murdered gave Mary’s kids a necklace that Mary had given her in her time of grief. My aunty touched quite a lot of hearts. She was a good person.

It was therapeutic to hear the stories, particularly as Mary was still with it and conscious most of the time. She had periods of rest but she was never alone. The nursing staff were great, she was allowed visitors all the time and there were no restrictions on numbers.

My uncle was so incredibly brave. He is not a well man himself, having recovered from heart surgery in the last few years. He couldn’t walk so the kids had to push him around in a hospital wheelchair. There were times when he just had to get out of that room and take a breather. He couldn’t bare just sitting there and watching the love of his life dying but despite the pain he was incredibly courageous. He stayed with her through the nights, the hospital gave them a camp bed when they realised, and I brought in some extra sleeping bags, quilts and pillows just to try to make it a little bit more comfortable for them.

Wythenshawe Hospital is a good hospital but there aren’t a great deal of facilities. At the weekend the subway was closed and there wasn’t really anywhere to get something to eat. Lots of takeaways wouldn’t deliver to the hospital either so you had to go off site to get food, which wasn’t ideal as it was paid parking too, although the machine stopped working so we got free parking for most of that weekend.

Mary was finding comfort from sucking on ice cubes, which we were getting from the subway. The nurses also gave her some ice from her own fridge but mum also brought some calypo ice lollies she got from home and she really seemed to enjoy those, she was actually swallowing them. She was puking up small quantities of the contents of her bowels, which must have been really unpleasant for her and I think the orange and lime flavoured ice lollies took away some of that taste.

I’m glad Mary got to go surrounded by loved ones and I’m glad we got chance to say our goodbyes, not everybody gets that but at the same time it wasn’t a pleasant way to go. I hate the thought of dying in a hospital and she was offered to be moved at home but she wouldn’t have had the same access to pain relief and it would have been harder to have all her family around her and she always put her families needs ahead of her own.

At one point she sat up on her bed, despite it clearly being very painful for her to do so, so she could get as close to her daughter Katie, who is wheelchair bound, just so that she could give her a hug.

When she wasn’t quite so weak, she was still asking us if we had enough to drink. She was never thinking about herself, her last words to me were to look after my mum. It was only really on the Sunday that she spent sleeping, even as she got weaker and found it harder to talk, her mind was still fully with it and remembering things from the past.

I got a bit frustrated with my mum as we’d be there for a couple of hours then mum would ask me to take her home. There was a little part of me that felt could you not just do this for your sister given everything she has done for you. I know it’s hard. I know it’s painful but every time we leave, this might be the last time.

One time I did actually say no to her, especially on that Sunday night. Mum was falling asleep, but we were all tired, all both physically and mentally exhausted, I didn’t want to leave but my uncle Brian saw she was falling asleep and asked me to take her home, so I did but I made sure she said goodbye to Mary just in case.

I dropped her off home, then I went to go get something to eat for everyone. The night before, they had tried to order some KFC but it was after 10pm so KFC wouldn’t deliver so I decided I’d get a KFC bucket so that at least they had food at the hospital.

I wasn’t sure whether my uncle would have wanted the smell of the food in the room, so I left it in the car and went back up. By this time they had dimmed the lights and the mood was different. Brian was holding her hand on one side and Katie, Lil and Vikki were on the other side, almost forming a ring around her. My aunty Gel was there too, as was Dominic.

She had a few photo frames on the bottom of her bed, one of her parents, one of Mark, the first baby they lost and another of baby Bernadette. My uncle was playing songs from youtube on her mobile and talking to her, giving her permission to let go. Her breathing was very shallow and she looked peaceful. Her eyes had rolled back and I found that very upsetting but I think she could still hear us. I lost the ability to speak. In my head I just wanted to tell her how much we all loved her and that she didn’t need to worry, we would all look after each other but the words just wouldn’t come out.

The last two songs played were “Where do you go to my lovely” by Peter Sarstedt then “When I need you” by Leo Sayer, two beautiful songs. By my phone it was 23:02, her breathing had been getting more and more shallow then it just stopped. At that point I burst into tears and I wasn’t the only one.

I had all but forgotten about the food in the car, it didn’t really seem to matter anymore. I went out to ring mum and let her know and I let my brother and sister know too. Brian was worried about people finding out through facebook, he was ringing family that night and would ring friends in the morning so I made sure my brother and sister knew not to post anything until Brian had.

I went to pick up mum and bring her back. It seemed like quite a while waiting for the doctors to confirm her passing. Poor Lil, who had been so amazingly strong for her mum found it really hard. She was going to help clean and dress her mum but it was too much. You want to remember people for who they were when they were live, happy and full of life, not the end of their life.

I couldn’t leave my mum to be alone that night, I went back with her and slept on the couch but about 0230 in the morning my aunty Gel, Lil and Katie turned up at the door. My aunty was going to stay with them at their flat because they didn’t want to be alone, understandably. They were going to get a taxi from the hospital because my cousin Katie needs wheelchair accessible transport but none was available and they ended up walking to my mums, just under 2 miles away.

My aunty insisted she didn’t want a fuss, she didn’t want an expensive funeral, just a cremation. She would rather we spent the money on having a good time in her honour.

It makes me sad that there’s only my mum and my aunty Gel left now from the six sisters. It also brings with it that after they pass it will be my generation next and I won’t have a room full of children and grandchildren to remember me, my line ends with me.

To be honest, I’ve come to accept that this is probably for the best. I wouldn’t have made a good dad, I have too many issues of my own to be responsible for another person. I will probably die on my own, and probably by my own choice. I don’t want the indignity and helplessness of old age.

Losing an angel

On Tuesday 19th July, my Aunty Mary rang me in the evening. I can’t remember what the original reason was but we ended up having a deep conversation about our familial genetic predisposition to addition. It was one of those cathartic conversations that made me feel more connected to her and we had both come to the same conclusion independently that an addictive gene did exist and was highly prevalent in our family.

Little did I know at that stage that just over a month later I would be saying goodbye to my Aunty for the last time.

My mum was one of nine children, 6 girls and 3 boys. My grandparents were quite stern and very religious. At one point my granddad was also their headmaster and later became a Catholic priest. Life was hard back then, they didn’t have a lot, a satsuma and a new pair of socks for school were considered a Christmas treat. My mum spent her teenage years working in a soap factory and my grandparents would be waiting at the door for her wage packet when she got home on payday. She would sometimes spend the money on her way home so that she at least got to see some of it.

By contrast my own childhood was much more relaxed. We were not well off by any means but mum made sure we had big piles of presents at Christmas, working extra shifts at a care home on top of her nursing work as a paediatric nursing sister specialising in infectious diseases.

There was a strong propensity towards Education and Healthcare in mum’s family. She was a nurse, my Aunty Gel was a dentist, Aunty Mary was an audiologist, my Aunties Beth and Cathy were teachers, as was my uncle Eddie. Even my uncle Leo was a driving instructor.

Aunty Mary suffered a lot of tragedy in her life. She was incredibly paternal and wanted a big family, she lost two babies to cot death, Mark and Bernadette and had a number of miscarriages but she was also blessed with 6 beautiful children that she doted on. My older cousin Bobby, Dominic, Eddie, Katie, Vikki and Lil.

Mary never gave up, she never felt sorry for herself through all the things that went wrong in her life, she was an incredibly strong woman. She was always there to comfort people going through a hard time, she was very good at dealing with a crisis.

When my mum went through some really bad years, Mary was there for her. My Uncle Leo passed away through suicide, my parents separated, my mum’s best friend died suddenly from a heart attack and both her parents died all in a relatively short time period. I was also having my own mental health issues that did not help either.

Mum ended up in hospital, my father divorced her whilst she couldn’t even represent herself and my Aunty stepped in, shopping for my brother and sister whom were just teenagers living on their own, I had already moved out by this stage.

At one point my mum was living on my Auntie’s sofa, having lost her house whilst in hospital. She was in a terrible state after being tortured by psychiatrists who fried her brain with ECT (electric shock treatment) that has permanently damaged her memory. They also poisoned her with lithium, leaving her shaking so badly she couldn’t hold a cup of tea and she would burn herself by falling asleep with lit cigarettes in her mouth, it was an awful time for all of us but Mary was always there, fighting my mum’s corner, dealing with the doctors, attending appointments, never giving up.

She helped find my mum a council house and helped her moving in. They did all the packing and moving, making sure she had furniture and carpets and anything else she needed. It took a very long time but mum’s mental health improved, even whilst her physical health deteriorated.

Mum had a myriad of health problems, painful arthritis, she was only short to begin with, less than 5ft in height. Her mobility wasn’t great. She also had heart problems, chest problems and Addison’s disease. I can’t tell you how many different hospital wards I’ve visited over the years when she’s been in and out of hospital with chest infections. Nurses make the worst patients, especially one like my mum that’s allergic to latex. That’s like a gardener that’s allergic to grass. No matter what, Mary was always there for my mum and I think I’ve taken that for granted a little bit and I shouldn’t have.

The last few years had been a real turning point. The government bought in bedroom tax, mum was in a three bed property that was originally for mum and us kids to live in. My sister moved to America, my brother was settled with his partner and after living with mum for roughly 4 years, I moved out to buy a home with my fiancée.

The house wasn’t ideal for her anyway, it had a steep staircase and it although it had been adapted for her with a stairlift, extra rails and a walk in shower, it was a bit big for her needs but it was also her home. Mary helped find her a new home. Even with the extra tax that mum couldn’t afford and her complex needs, it was not easy to find her somewhere suitable.

When I first moved out of our family home growing up, I went to the social housing office in my area and within a couple of weeks was offered two separate flats but these days there is so little social housing available and so much need for it that even if you are actually homeless you can spend years waiting for accommodation. Instead of the housing office giving you a choice of three properties to pick from, today you have to “bid” for properties and hope that you have the highest score of everyone else looking for properties. It’s a very time consuming process and you need to be constantly bidding on properties to show that you are interested, then there are the inevitable disappointments along the way as you find somewhere perfect only for it to be taken by someone else.

Mary handled this whole process and it let to a perfect disabled friendly, two bedroom bungalow for mum that was only a 5 minute drive round the corner from me, which made it so much easier for me to visit her.

Mum isn’t great with technology, she takes a long time to work how to answer her phone. There have been times where she hasn’t answered so I’ve had to drive to her house to check she’s ok and hasn’t had a fall or anything like that. Most of the time it’s because she had gone away to her sister Gel’s and forgot to tell me but now at least it’s a short drive away.

When mum got the bungalow, Mary moved in. She cooked for her, and the neighbours. She helped her order new furniture, decorate, get a new dog, nursed her through bariatric surgery, took her to countless appointments and to church. Mum’s health and her life were getting much better and she played a big role in that. She was always there.

I wish I spent more time with Mary now. Whenever I came to visit mum, she’d give us space to chat on our own. I wish I’d took Mary with us sometimes when we had gone out for birthday meals or things like that.

The only good thing about Mary’s passing was that I did get the chance to tell her how much I appreciated everything she had done before she passed. That was important to me.

There were lots of good times too. I was actually a very shy kid, even more shy around family than anything else. Aunty Mary put on the most amazing New Years Eve parties. There were disco lights and smoke machines, plenty of alcohol and buffets. So many people, distant family members I didn’t know very well and she they brought us all together.

I wish I had a time machine and could go back to those childhood memories and make myself a little less shy and timid and relax a bit more. I did when I got older. Taking my girlfriend to one of my Auntie’s infamous New Year’s Eve parties in 2002 will always stick in my mind. I drank so many cheap alcopops that night that my head was spinning, I also met my brothers partner for the first time that night too. Those were happy memories.

It’s so easy to take things, particularly people, for granted. We don’t like to think of our own mortality and it’s even more painful to think of losing the people we care about, the people that have always been there and we feel like will always be there for us. It can happen at anytime.

It was only the beginning of August when my Aunty Mary was excited about going with mum to see an ABBA concert but she never got to see that concert and that makes me feel very sad. Things were just starting to go well. She helped turn mum’s bungalow into a beautiful home, complete with Gazebo and furniture out in the back garden. She had recently moved out into her own forever home in Chorlton, a short walk away from her daughters Katie and Lil’s flat. There should have been more parties, more family gatherings, maybe even a few holidays and that’s all been taken from us.

Out of the six sisters, only two are left, all passing at relatively young ages. It just doesn’t feel right, it doesn’t seem fair but then life has never been fair for my aunty or for my mum. I doubt it’s ever fair for anyone. The time she had, she made the most of. I’m glad for the person she was, for the memories she gave so many people, for the love and for the laughter. I’m glad for how generous she was with her time and I’m glad that she passed surrounded by her family, her loving husband whom has been a rock for her through it all.

It also feels like there is a huge vacuum left behind. Every time I walk into mum’s bungalow and there’s not a kitchen full of waifs and strays being fed and Mary asking me if I wanted a drink or something to eat despite having her arm in a cast. I can still hear her voice in my head, I just wish I could see her again, happy, laughing and full of life, just how I remember her.

I have an eating disorder

Whenever somebody talks about eating disorders, they always think about Anorexia or Bulimia. There are, however, other eating disorders that are often missed by health care professionals.

I have Binge Eating Disorder. It’s not been diagnosed officially by my GP but I know I have it. When doctors see someone like me, they just see someone whose obese, they see the symptom, not the root cause. One time when I begged my doctor for health, he just suggested that I cook cauliflower cheese, as if I asked him what I should have for tea tonight. That’s not even a healthy, well balanced meal.

I understand that not everybody who is overweight (or underweight for that matter) has an eating disorder. For some people dietary advice and encouragement is what they need but you’re not going to help an anorexic person by just telling them to eat more, it’s well understood to be a psychological condition in a way that binge eating disorder is not understood. The right kind of help is important and I don’t think it exists in the UK.

Losing weight will be great for my health, confidence and self esteem but it won’t make my eating disorder go away. The cause is not physical, it’s psychological.

I can pinpoint the day when it first started. It was my first day at high school. I was nervous, like most kids are and the high school my parents chose wasn’t the one where most of the kids from my primary school were going to. I did know some people there, like my next door neighbour whom was in the year above and a friend from primary school called Warren.

Me and Warren at Primary School, 1994

Warren and I were both football mad. He was a blue, I was a red but it didn’t matter, we loved to play football anytime we got the opportunity and we both always wanted to be the goalie. I was always coming home with my pants baked in mud, to my poor mothers disgust.

Anyhow, it was lunch time on the first day and we headed together to the school canteen, Warren went up first and I was behind him in the queue. He got sausage, chips and gravy, so I ordered the same. We sat down at a table and another kid still in the queue made some sort of joke about the fat kid eating chips. I was mortified and humiliated. I just wanted the ground to swallow me up.

From that day on I refused to eat in the canteen. It filled me with dread just going in there to queue for lessons in an adjacent classroom. In fact, for the most part of high school I didn’t eat at lunch time at all.

It wasn’t the first time I’d been publicly humiliated in school for my weight. The first time I went on a diet I was just six years old. Mum would take me with her to weight watchers. I think she must have had a word with the school to ask them to watch what I was eating at lunchtime in the canteen.

One day, after everyone had been served, the dinner ladies shouted out “anyone for seconds” which they did often when there was food left over. This was the early 1990s. There were no Jamie Oliver inspired healthy food drives, it was chips, beans, pie and mash, turkey drumsticks, apple crumble and custard, random gruel that nobody could quite identify but we were assured it was edible. I joined the queue and the headmistress of the school shouted at me in front of the whole school to go sit back down. The intentions were good but I was a very shy, sensitive boy and those two incidents did a lot of psychological damage.

Would I have been overweight as an adult anyway? Probably. It’s not an excuse, but there certainly is a genetic element to my weight if you look at my family tree, obesity is rife. All I can tell you is that it made a bad situation significantly worse.

I never ate breakfast anyway. I’m not a morning person. Give me a choice between five more minutes in bed or breakfast and I’d choose bed every time. I just wasn’t hungry in the mornings. Of course, with no breakfast or lunch, by home time I was starving.

Sometimes I’d walk to a chippy not far from school and buy a chip barn and a jumbo sausage and I’d eat them secretly whilst I was walking. I’d even hide it in my blazer pockets if somebody walked closely by. I’d then get home and eat my tea, which would be a full adult portion at least. As I got older, I’d be cooking for myself, my brother and sister as my parents both did long shifts so we’d often be home alone. Portion control wasn’t my strong point and the food either came out of the freezer or a tin.

Food was my comfort. I ate when I felt low. I ate when I felt high. I ate when I was bored. I ate when I was sad. Often in secret and alone. I could eat two family sized bags of crisps and two large chocolate bars in one sitting and on a regular basis as my mood spiralled because of my weight.

Over the years things have got worse. The first time I did the VLCD I was very strict with it but towards the end I worked out that I could actually binge eat after the weigh-in and I’d have enough time to undo the damage and still lose weight by the next week. I would eat 4 prepared sandwiches (often triples), a “sharing” bag of crisps, a pasta pot, a couple of king sized chocolate bars, a pack of pork pies. Basically anything I could get hold of that I could eat in secret in my car, then discard the evidence in a bin before going home.

I knew it was wrong but I couldn’t stop myself from doing it and the more I tried to push back on myself the worse the binge I ended up having. I would make myself uncomfortably full and afterwards it’s like waking up as if it was somebody else doing it and wondering what the hell just happened.

Just writing about it now, actually putting the truth on paper, there’s almost a disbelief and disconnect as if I’m talking about somebody else.

Fast food and takeaways are my biggest achilles heel. After a stressful day at work, instead of going straight home, I’d go to the drive through at KFC or McDonalds then sit and eat it in the car.

It would be a double cheese burger, 2 portions of cheese melts, a box of 20 chicken nuggets, a large Big Mac meal, a large McChicken sandwich meal, a McFlurry, a chocolate milkshake and an apple pie. If it was KFC it would be a large 3 piece variety meal, a double chicken burger box meal, a large tub of beans, a snack wrap and 3 cookies. The meals all coming with large fries too.

Then I’d go home and either make an excuse to not eat tea or I’d eat that as well despite feeling uncomfortably full already. Sometimes I’d pretend I’d been out for tea with workmates. I would hide food. I would use black bin bags so my wife wouldn’t see it if she looked in the bins. I’d even disable the video door bell so she couldn’t see that I’d ordered takeaway delivery when working from home.

It’s not that I was binging constantly, it is a triggered compulsion. I could go weeks without binging or it could be every single day. It’s always hard to explain to nutritionists when they ask what your “normal” diet looks like. Do you mean the one when I’m in control or the one where I’m possessed by the spectre of a starving family of four? Which box do I tick for my diet is Jekyll and Hyde?

My wife does most of the cooking during the week and it’s normally a well balanced, relatively healthy meal like a chicken breast with green beans, carrots, peas and mash. OK, the mash isn’t great but it is properly portioned and if you took out the binges I would be a healthy weight.

When I was working in an office not far from home, I would bring in an apple or orange and a muller rice yoghurt for breakfast and for lunch I’d have a microwave ready meal like salmon with broccoli and new potatoes from the healthy living ranges then I’d have a 10 cal jelly and peach or some raisins as a snack in the afternoon. I do know how to eat healthily. I know how to track my nutrients, I used to use MyFitnessPal to track my meals.

I admit that things have been all over the place since my reality became working from home. There’s not the same routine to my day and I need routine. Routine is the best guard against binge eating but when I’m stressed everything goes out the window and the compulsion takes over.

I would like to think I’m at least a moderately intelligent person yet binging is such an irrational and stupid thing to do. Knowing that I’m eating myself to death doesn’t stop me doing it. I need to find a way, I need to replace binging with a healthier way to manage stress. Walking and the gym will help, I used to do an hour on a treadmill at the gym three days a week. That would be impossible right now but I will build it back up in time as I lose more weight. The endorphins produced from exercise make you feel good, I just have to remember that when it’s cold and wet and I’m struggling to find the motivation.

Back in the days when I’d hit the gym I’d smash it on the treadmill.
Might not be impressive to some but I was still over 20 stone when this was taken

By nature I’m very boom or bust. I either put everything into something or nothing at all. It’s not a good way to be but it’s ingrained into my personality so I’m not sure I can change it completely.

I have been to weight loss courses where they try to teach you about mindfulness, triggers etc but these course last for six weeks. I’ve been dealing with this problem for more than thirty years. It doesn’t cut it. Ongoing support is what I need. I’m always going to be an addict, I can either be in binge mode or remission but it’s not something that’s curable, something that goes away. It requires constant work and it’s exhausting. Without applying constant path correction I will veer off course like landing a plane in cross winds.

Sometimes I feel like it’s all pointless, that I can’t beat it and that I may as well put myself out of my own misery. It just constantly grinds you down no matter how much you try to stay optimistic and hopeful. It never goes away and I get so tired of trying to swim against the tide.

I hope by speaking about it maybe we can get health care professionals to educate themselves about the “other” eating disorder. Maybe it will help somebody else going through the same thing and give them some comfort that they’re not alone and maybe by admitting it to myself I can get the support I need to keep fighting.

Week 3 Weight Loss Update

This week I lost another 7 pounds, taking my total loss to 2 stone 6 pounds (or 34 pounds if you’re American). That’s 6.87% of my starting weight lost and 12.14% of my long term goal (to get to 15 stone) completed.

If I carry on losing at least 4 pounds a week then I will hit my target in 62 weeks. Of course, I don’t expect it to go that smoothly, there will be times where I lose less and even blips where I gain weight. The most important thing is staying focused and not get too hard on myself when things don’t go to plan, as long as I get back on the horse, I’ll get there in the end. That’s when the real work begins!

I have my spreadsheets and charts to keep track of it all. See below

I’ve tried to up my exercise a bit, I have a circuit I like to walk that is 2.2 miles long according to google maps. It takes me about an hour with a 15 minutes break in a park before heading back and I walked it on Wednesday and Thursday. I tend to get aches in my shoulders and upper arms whilst walking but I can already feel that improving although after Thursday I got blisters on my feet, it might be too much to do two days on the bounce but I will try double socking to reduce the friction.

On Sunday I went back to my old stomping ground, Dovestone reservoir for the first time since last Easter. There are a variety of walks but for now I’m just sticking to the main circuit around the perimeter of the reservoir itself.

Unfortunately, I went over on my right ankle and sprained it. My ankles are a nightmare. Years ago, when I had physio following a back injury, the physio told me I had an unusual gait and that one leg is slightly longer than the other. They were supposed to refer me to have some special inserts made but it never happened. It doesn’t cause me big issues but my balance isn’t perfect.

When the physio got me to rotate my ankles, I could hear a noise a bit like squeezing cotton wool balls. I think the ligaments are damaged and if I get pressure in very specific spots, they instantly collapse. It’s not just down to my weight either, I went over on both ankles in Edinburgh after I lost over 13 stone. It just happens very suddenly and the next thing I know, I’m on the floor.

This was from when I went over on both ankles in Edinburgh in 2014. Thankfully it wasn’t as bad as that this week

A couple of blokes came over to see if I was alright and offered to help, which was very good of them but also a bit embarrassing for me, I got myself up and decided to carry on rather than go back even though we were probably only a quarter of the way round but I am quite stubborn. I came there to do the full circuit, and it didn’t matter that I had to hobble the rest of it. It took 2 hours but I did it.

Driving home was very uncomfortable but there was no choice. I treated myself to a cup of tea with one sugar and two squash’em sweets we had in the car, more for the shock than anything else.

I’ve scraped my elbow and my knee is quite sore and it will set me back a couple of days before I can do another walk, which is annoying but if I try to rush it, I could damage it even more. In the grand scheme of things it’s no big deal.

Andy’s Man Club

On Monday I did something quite brave (for me), I went to a support group for men for the first time.

It was only a few days earlier that the post below appeared on my Facebook news feed

I’ll be honest, it’s not something I’d usually do. I don’t like talking about personal issues in public. There’s some kind of mental block there that just stops the words coming out. The only acceptable answer to “how are you” is “I’m fine”. You kind of know instinctively that people don’t really want to hear about your problems, they just want to get on with their day, they have their own problems to worry about. The question is more of a verbal handshake than an invite to say how you’re really feeling inside so we all carry a lot of this baggage. Fears, worries, stress and often there’s no outlet for it.

I’ve always found it so much easier to open up in written form, I can be more expressive with a pen or a keyboard than I can with my voice box but I’m at a point in my life where I’m very vulnerable and anxious and I know I can’t beat these demons on my own anymore so I had to do something.

I have tried counselling and it can be useful but there’s always a time limit. Expecting me to be “cured” after 6 or 12 sessions of problems I’ve been fighting the majority of my life just doesn’t work. In fact, it can create more anxiety about the sessions ending. What I need is long term support, somewhere I can go when the chips are down (hopefully I have put the chips down).

So, I looked up to find the nearest club and there was one a stone throw away from the office I used to work in, in the suitably masculine environment of a football stadium. It was 6.30pm on the Monday night and the sessions are from 7pm every Monday. I put my feelings of anxiety to one side and decided to go for it.

I was nervous about finding the group but luckily there were a few guys in branded clothing outside so I recognised the logo and they were very friendly. I went into the room and sat down on one of the seats arranged in a big oval, nervously sipping my water, not knowing what to expect.

There was quite a variety of different types of guys there, which made me feel more comfortable. I was worried that there could be cliques with everyone knowing each other except for me, but I wasn’t the only newbie and everyone introduced themselves and were nice.

The way the sessions are run is that they’re focused around specific questions such as “how has your week been”, “what was a positive from the last week” and “what’s on your mind”. It made it easier to talk, as did listening to the other guys talk. If they could do it, then so could I. The good thing is that there’s no pressure if you don’t want to talk and no judgement. It’s just a bunch of guys who understand what it’s like to be a guy, listening to each other and it felt liberating.

I’m already looking forward to the next session.

If you’re a man in the UK who could do with some support, visit https://andysmanclub.co.uk/club-information/clubs/ to find your nearest club.

Understanding Very Low Calorie Diets (VLCDs)

From a simplistic perspective, if you want to lose weight, just consume less energy than your body needs to use in order to sustain your body and your body will be forced to use it’s own internal supply of energy.

The body has three different supplies of energy, glucose in the bloodstream from sugary foods or carbohydrates that have been broken down by the body into sugars. This form of energy is the quickest and easiest energy source for your body to use. Then there is glycogen in your liver and finally energy stored as fat, that first needs to be broken down by the liver. The process produces chemicals called ketones as a by product.

The aim of a very low calorie diet is to quickly deplete the glucose and glycogen energy stores in order to efficiently burn fat in a state known as ketosis. There are other diets that try to achieve the same thing such as the intermittent fasting 5:2 diet whereby for two days a week participants consume less than 800 calories (male) or 600 calories (female) and keep to a low carbohydrate diet the rest of the time without counting calories. There are lots of other “keto” type diets that encourage higher protein and lower carbohydrate consumption such as Atkins and the Paleo diet.

Many healthcare professionals and nutritionists are very critical of these diets because they can sometimes be nutritionally unbalanced if cutting out whole food groups and also because they are not sustainable long term so it is easy to put weight back on, and I agree that a VLCD is not sustainable, it doesn’t resolve the issues that lead a person to become obese in the first place and thus far my experience has been that it is easy to put any weight lost back on very quickly.

Our brains have evolved over millions of years of famine and scarcity of food supply to favour energy dense foods like carbohydrates. Eating as much of this kind of food as possible gave human beings the best chance of survival through harsh winters where food was more scarce. Our brains still have these same instincts but we live in an age where food science has created an abundance of highly processed rich carbohydrates that are cheap and readily available.

Unfortunately evolution is much slower than changes in our environment and there are still places in the world where those adaptive traits are useful for survival and that this blip of abundance may change as human population and climate also evolve but for now our human instincts to seek out dense calorie food is working against the health of the population with as much as one third of the world population now being overweight or obese.

So, given that VLCDs do not work in the long term, why am I still doing one? The answer is scale. If you are just in the overweight or obese category, you’re better off just avoiding processed foods, watching your carbohydrate intake, and switch to complex carbs like brown rice and pulses if you can and keeping an eye on portion sizes. Don’t worry so much about fat and sugar, you’re actually probably better off avoiding “diet” food altogether and just keep your diet as natural as possible. Remember, the diet industry has a vested interest in you failing or yoyoing so that you keep going back for more of their terrible products.

However, when you’re super morbidly obese like I am it is almost impossible to stay motivated when losing one or two pounds a week. It’s the case of the lesser of two evils. If I stick to my VLCD, I am guaranteed to lose a lot of weight quickly. I’m essentially going into famine mode. My metabolic rate may slow down at first but I can build that up through exercise and building muscle. Muscle burns more calories even at rest, so the more you have the better for weight loss, even if some weeks you lose less weight because the muscle you gain is more dense than the fat and retained water you lose.

It’s absolutely soul destroying to follow a diet like weight watchers, slimming world and work really hard to lose a few pounds then put it back on with a blip. I’ve tried all these diets, they didn’t work for me.

I found them very feminised environments. I was often the only male in a group full of women. Not that there’s anything wrong with that per se but the conversations, interests and suggestions tend to be catered for women. You will not find me doing a yoga class no matter how good an activity it is for weight loss and yes, I know, there are some men that love aerobics too.

You will not get me swimming either. It’s a shame because I was like a fish when I was young but for men you can’t wear a costume that hides everything. I’m not saying it’s easy for women either, it certainly is not and society is very judgemental of women’s bodies too but there are some differences in the things a fat guy will experience that are never talked about because men don’t tend to speak. Things like what it’s like as a bloke to have a larger chest than most women. It just kills you inside.

There’s a huge amount of misunderstanding when it comes to male psychology. At one weight loss group I went to a woman complained that her husband doesn’t have any emotions, then she tells a story where her husband got irritated at her. It never occurred to her that that was him showing his emotions.

Men and women show their feelings in different ways and at different times but please do not mistake those differences for men not having feelings. We are human, just like you. We just respond differently sometimes, and that’s ok. It’s not that one way is better than the other, it’s just different.

Whenever I talk about these difference someone, somewhere gets offended and assumes I’m sexist and that men and women are interchangeable blocks yet the same people will happily talk about the disadvantages women deal with as if they are real but men’s are not.

Sorry, bit of a side rant there but having services catered around the different needs and motivations of men and women is important for success. There are some men only groups starting to pop up now. I tried an men only Overeaters Anonymous group but it was too religious in nature for me.

Walking groups, walking football, men’s sheds (that haven’t been taken over by Age Concern or women that want to control them), photography clubs, social poker nights etc, these are the kind of things that can make a difference. Masculinity is the answer, not the problem!

Managing blips is the key to long term success

In 2012 I lost 14 stone 10 pounds on a VLCD and I joined a walking group and was walking every week around three reservoirs in Oldham but in the end I had a blip for a couple of weeks and put on a bit of weight, I felt ashamed and didn’t want to be seen again until I lost that weight back. I’d tell myself I’ll lose the weight then I’ll go back but the longer I was away, the more I’d put on and the positive snowball effect that encouraged me to lose the weight was suddenly acting in reverse and the weight piled back on. If I think about it, it’s very similar to a gambling addict chasing his/her loses.

Shame is a very powerful human emotion and by writing about everything so publicly, I’m trying to take away that power and fear of humiliation. If you’ve already humiliated yourself, what else is there left to fear?

Right now the biggest problem I have is my mental health and I’m hoping that by losing weight quickly I’ll regain some of that confidence and belief and get me back to being the happy, bubbly, occasionally funny guy and not someone drowning in anxiety.

Long term this isn’t the solution. I think I’m at a point of accepting that I might need surgical help to keep me permanently on the right path, despite it’s associated risks and complications. I’ll write about that separately sometime.

In the meantime, my focus is locked on being 10 stone lighter in a years time, getting out more and walking again and seeing if I can stabilise my mood. I need things to look forward to, I need hope and I need support.

The previous two times I’ve lost a serious amount of weight, I was using the lipotrim programme, firstly with the support of a hospital ran clinic and the second time via a pharmacy so I’d have human contact each week to check my progress and the fear of disappointing the staff played a role in keeping me on track.

I don’t have that this time. This time I’m using the http://www.shakethatweight.co.uk diet, same idea but there’s more variety of the shakes and soups. They don’t taste as bad, although I find the savour ones pretty intolerable, which is a shame because I’d rather not have shakes all the time. It’s a lot cheaper than the pharmacy or hospital led programme but it’s not supervised which is why I need to keep writing regularly and for people to check in on me to keep me motivated.

I’m fortunate to have an amazing wife who bends over backwards to make this as easy for me as possible, making my shakes, always making sure I have plenty of water (water helps stop the hunger, I drink between 2-4 litres of it a day), putting up with my moods, doing her own cooking and washing up when normally the washing up is my job. I couldn’t do it without her, she’s amazing!

I wish I could go back to myself nine years ago and just convince myself to stop caring about what other people think and just get back on that horse and go again. I wish I knew what the long term solution is to break the yoyo cycle.

I’m an addict. I’m addicted to food. Cold turkey (and I don’t mean what you have in butties the days after Christmas dinner) is much more easy for me than asking me to eat three small meals a day right now but even if I have surgery, I need to find a way to break my dependence on food for emotional regulation. It’s all I’ve ever known so it won’t be easy, but then when have I ever done anything the easy way?

2 Week Weight loss update

Did my second weekly weigh in today and I’m down to 33 stone 6 pounds which means I’ve lost 10 pounds this week and 1 stone 13 pounds since I started my VLCD on 10th January, with a start weight of 35 stone 5 pounds .

The rate of weight loss will reduce now, I’m hoping for 4-5 pounds per week which would be one stone every 3-4 weeks.

I’m going to start taking waist measurements too but I couldn’t find our tape measure so I’ll order a new one.

The unpleasant side effect of the diet is ketones give you bad breath. Ketones are the chemical compounds released when your body is burning fat. It’s a good sign and I’m trying to minimise it with sugar free chewing gum and mouth wash plus plenty of water.

Tomorrow I’m going to write more about the diet, how it works, why you shouldn’t do it unless you’re crazy and why I’m doing it anyway.

The significance of dying my hair

Back when I was 20, I worked in a call centre that participated in taking calls for the BBC Children In Need telethon. I took calls on the night and also decided to raise money myself by coming into work in pyjamas and slippers and also to dye my hair purple. It was the first time I’d ever dyed my hair, and I didn’t do a great job, the colour was running and leaking down my face but I liked it.

Not long after that I started experimenting, trying all sorts of different vibrant colours and even just plain blonde.

I’m no extrovert and I’d normally avoid doing something that would draw attention to me but being a big guy, I would get attention whether I liked it or not. It’s much better to get people commenting on your hair colour than having people in white vans honking their horns and calling you a fat bastard. Street harassment was a regular occurrence.

The hair became my deflection strategy, and it worked well. People would still be thinking the same thing but that’s not what they’d comment on. I don’t blame them for what they’re thinking, I think the same thing whenever I see my shadow or look in the mirror and it’s a negative feedback loop that actually made me binge more in the first place.

People assume when you’re obese that you’re stupid and don’t know about food nutrition and that you’re lazy. I’m neither of those things. Depression and obesity can sap you of all your energy and make you not want to go out, why go out when you’re going to get abused in public? It’s humiliating. Especially when it comes from the mouths of kids. Kids have no filter at all.

I get fed up of trying to explain to clinicians that I know what a healthy diet looks like. I know what portion sizes should be and what proportion of my intake should be protein, complex carbohydrate, and vegetables. Why is binge eating disorder treated as if people are just stupid whereas Anorexia and Bulimia are acknowledged to be psychological conditions that need therapy to deal with the root causes, rather than just information about how many calories you need per day.

It takes a lot more effort for me to do simple tasks. Imagine walking whilst carrying two slim adult women on your back, that’s what I’m doing every single day and I have balance problems, back problems and dodgy knees and ankles. I know it’s all my own fault but that still doesn’t make it any easier.

I’m a bit of a rebel too though. When people tell me I can’t do something, it makes me want to prove them wrong. One year my old workplace decided to do a pedometer challenge where they wanted the whole company to walk the equivalent distance from Manchester to Johannesburg. They made it competitive with teams racing against each other. I built a website with leader boards for each team and gamified it with different virtual trophies and facts as we progressed. I also started walking the 6 miles home from work 3 times a week and I was consistently near the top of the leader board beating people a lot fitter than me.

So, this week I’ve dyed my hair blonde again for the first time in years to remind myself that I have done this before, I can do it, and I will do it. I need that anger to keep me going when it gets tough, because it is tough, especially when I realise that the weight I need to lose is as much as my starting weight from the first time I lost it all.

I’m very grateful for the people supporting me and offering encouragement. I really need all of the support I can get. I might not always get back to you but you make a difference when I’m down in the gutter, you keep my eyes looking to the stars (to badly paraphrase Oscar Wilde).

Dealing with existential angst

Last week I wrote a poem about existential angst, you can view it here. The start of my 40th year has triggered a lot of emotions that are very difficult to process.

It has really creeped up on me but I feel like I’m no longer in the prime of my life, the best parts are all behind me. I know there will be a lot of people thinking but you’re not even 40 yet and life gets better with age but even as a young child I felt older than my age and I know I’m likely to die young anyway with my physical health and predisposition for suicidal ideation.

I don’t want to get old. The thought of one day needing someone to care for me physically is just not something I’m prepared to accept. I’d rather die young than watch my brain function and mobility gradually decay. I saw that with my grandparents and it’s tough to witness when people you love go through that.

When your own parents get to that age it’s also a reminder that you’ll be next. I don’t have children of my own but nieces and nephews and as they’re getting to that age where they’re becoming more and more independent and all those special milestones are just around the corner you’re excited for them and wonder what the future will hold.

Things like learning to drive, first jobs, falling in love, first holidays without their parents, forming those social circles and discovering whom they want to be, starting a family. It’s such an exciting, golden time period. Yes, you make many mistakes and it can also be quite a scary time but you also make so many memories too and it’s the nostalgia of all those special memories and experiences that fuel a sense of loss within me.

Logically I know that I have plenty of memories still to make and that holding onto the past is only going to stop me making the most of the present, which will just lead to future regrets.

I know I shouldn’t be feeling like this, I should be happy with the life that I’ve led because I’ve been able to do so many things that other people haven’t. The holidays and driving trips wouldn’t have been possible if I went down a different route and had kids in my 20s but I’m yet to meet a mother that would swap her kids for anything in the world and when men come to retirement age they seldom wish that they had worked harder and earnt more money, they wish they had spent more time with their families.

Life is all about choices and it’s not easy to just be satisfied with the one’s you’ve made. The happiest people are the ones that learn to be content with what they have rather than worrying about what they missed out on. I try to tell that to myself, I have an awful lot to be grateful for.

How many people are on their own and lonely, desperate to be loved and here I am with an amazing wife that has loved me for who I am through good times and bad for almost 20 years. I’m sure if I could speak to my 18 year old self and tell him what I would have accomplished in the next 20 years, he’d be quite happy with that.

I need to convince myself that this is the start of a new golden age and not just the end of my youth but my sentimental mind yearns for those years when the possibilities were endless and my anxiety about the future takes over.

I can imagine that these feelings are quite similar to what a woman goes through after menopause and for a mother when the kids leave the nest, no longer being the central character in her children’s lives as she once was when they depended on her completely.

Men don’t have the same finite cut off point between child bearing youth and the rest of their lives, that kind of change must be very difficult for a woman both with the physical symptoms and the psychological impact.

Life isn’t fair, aging is not fun and biology can be cruel. I would love to hear from other people going through similar fears because there is comfort in knowing that you’re not alone in your feeling

Enough

Enough of the ticking
Goodbye to the tock

Enough of the fear
the self hate
the shock

Enough starting again
and falling back to the floor
you can have it death
come back with your claw

Enough pain
Enough tears
Enough feeling the dread
The monsters aren’t outside
They’re locked in your head

Enough wondering if this time
it’s finally near
A bridge
A train track
A walk off a pier
Whatever it takes
To make you disappear

Enough pathetic whining
you deserve what you’re feeling
Enough excuses and failures
It’s time you were leaving

Enough time that you wasted
Enough feelings of sorrow
You lived for today
But now is tomorrow

Enough putting it off
You cowardly shipwreck
They’re heading for port
You’re heading for the deck

Enough faking a smile
Enough tears of the clown
I’ll push you over
All you need to do is drown

All things must come to an end
You’ll soon be forgotten
You had no real worth
In fact you were rotten

So for one last time I’ll say it to you
Enough is enough
Do what you were supposed to do