When the doctors were initially trying to come up with a diagnosis, they would ask, "Have you lost any weight?" I always replied, "I couldn't be so lucky." Early on, I continued to joke about cancer as a weight loss program. It didn't take me long to realize how inappropriate that kind of joking is.
I have not lost any weight since I started treatment. In fact, yesterday, I weighed in at 171lbs, my heaviest yet (I'm sure that had nothing to do with the Peanut M&Ms that sustained me in Yellowstone). My heaviest ever is 180lbs when I was 9 months pregnant with my first child. I am bloated from constipation, and I feel fat. But my doctor doesn't want me to lose any weight right now, not even a single pound. Now is not the time to begin a weight-loss program. From what I've heard, in the early years of chemotherapy treatment, they found that they were losing more patients to improper nutrition (basically starvation due to lack of appetite and constant vomiting) than to the cancer itself. So, they've tried to combat that excessive weight loss in the hopes of keeping people alive while the treatment kills the cancer.
Before they give me my chemo meds, they administer nausea drugs and a steroid. For the first couple of days after chemo, I take nausea pills regularly. Also, the first 5 days after treatment, I take Prednisone. It's meant to battle the side-effects of fatigue and loss of appetite. It masks a lot of the aches and pains side effects and provides an artificial strength. Often, my body crashes the day after I stop taking it. While I'm on it, I find I have the munchies a lot. I was never a big snacker, so this is a huge change for me. The thing is that chemo affects your sense of taste. So, I get the munchies, go to eat something, and discover it tastes horrible. Many weight-loss programs tell you that if you're not enjoying what you're eating, stop eating...especially if it's something unhealthy. But right now, my job is to eat, no matter how bad the food tastes to me. One of my nurses tells me to think of African tribes who eat bugs, and force myself to eat. I have, and because I haven't had the energy to exercise, I've gained weight, and I think, "I couldn't be so lucky as to lose weight, even when I get cancer."
And then I enter the treatment room.
While I sit in my recliner, where my body is pumped with toxins, I observe the other patients. Some of them are within normal weight ranges, but some are deathly thin. There are men whose legs are like stilts. Their faces are gaunt, their cheeks and eyes sunken. Their arms and wrists and fingers are so thin, that you wouldn't be surprised to hear that they'd been in a concentration camp. The cancer has wreaked havoc on their bodies. They struggle with nausea, diarrhea, and vomiting. Baseball caps hide their bald heads. It's obvious that they're dying. I don't even know them personally, but it breaks my heart to see them like this. These men were once hard-working, strong men; many of them were farmers. Now, they look like they could break if they carried anything heavy or engaged in manual labor.
At times like these, I'm thankful for the 40lbs of extra weight that I wish I could lose. Thankful that my body has responded better to the chemo. Thankful that I haven't had any vomiting and that my body has been able to absorb the nutrients from the food I have often forced myself to eat. Thankful that I'm not a sickly skeleton. I am ashamed of the thoughts I've had and the words I've spoken. I am appalled that I once thought that their was beauty in being an anorexic, stick-figure model. I have seen the ugly side of weight loss. While I still can not embrace the inner tube that hangs around what was once a trim waist, I am thankful that cancer and chemotherapy have not been the weight-loss program I once wished they could be.
Grace and Peace,
Angel