6-11 halprin.indd
Transcription
6-11 halprin.indd
I look at my eyes in this photo of me, at 25 yrs old, and I see all the unhappiness of my past. It is almost hard to look at! For more information about Stacey Halprin, please visit www.winningafterlosing.com To learn more about Focus 28, visit www.focus28wellness.com Jamie J. Carr, RN, is Senior Vice President, Clinical Operations for Bariatric Partners, Inc. headquartered in Charlotte, NC. Bariatric Partners works in partnership with leading bariatric surgeons throughout the U.S. to develop, own and operate specialty outpatient facilities designed to meet the unique surgical needs of obese patients. Jamie has served as the National Chair of the ASMBS Foundation’s Walk from ObesitySM and is a strong proponent of research and education, believing in the empowerment of the WLS patient. She has worked with thousands of bariatric patients. Jamie worked for Dr. John D. Husted in his private practice as his clinical director for over 8 years. W L S L IFEST YLES 6-11 halprin.indd 6 www.wlslifestyles.com PHOTO BY: DEBORAH FEINGOLD PHOTOGRAPHY WWW.DEBORAHFEINGOLD.COM 9/28/07 12:48:14 PM KEEP OFF THE WEIGHT YOU’VE LOST FOREVER by Jamie J. Carr, RN Senior VP, Clinical Operations, Bariatric Partners, Inc. – An Inspiring Moment with Stacey Halprin, Author, Motivational Speaker, Actress, Overcomer After undergoing weight loss surgery five years ago, Stacey Halprin is beating the odds. She has managed to maintain her weight loss yet admits it is only through daily monitoring of herself and her environment. At over 500 pounds before surgery, this inspiring woman’s story tells all. She is waging a war on weight issues that plague patients after surgery and is committed to teaching all of those that come after her to not focus on the scale, but to focus on keeping the weight off after surgery by changing their thoughts and changing behavior. She has written a book “Winning After Losing” and is committed to help others to become successful at long-term weight loss. I sat down with her on one afternoon for a few moments and was inspired by her determination, her honesty and her commitment for a better physical and emotional life. JAMIE Stacey, I would like to begin by talking about your turning point, 9 -11- 01. The day our country was attacked by terrorists – you state this day changed your life forever. It is ironic that it not only changed your life forever but the lives of all Americans. Would you please describe this day? STACEY Let me first give you a bit of history. My weight was over 500 pounds at the time. My immobility kept me a prisoner in my own home. I could walk downstairs to my car and that was as far as I could go. I had to drive anywhere that I needed to go, my car were my legs. The grocery store was a few blocks away but my weight would not allow me to walk. Many times my car would be towed for parking in front of the stores I went to. I got parking tickets everywhere I went because I had to park at the door of all places I went as I could not walk. I literally could not get food or supplies if I could not drive, park in the front of the building, unload my cart that held my weight and hurry back to my apartment. This leads me to the morning of 9-11. I live about 1½ miles from ground zero. I will never forget the events of that day. I heard a commotion outside; a friend telephoned me in a panic and told me to look out the window. As I struggled to walk to my window and at that moment, I watched the World Trade Towers collapse. I remember the terror I felt as I watched not knowing what was happening. I would have to go back and forth to the window as I could not stand up for very long. Over the next hours, the streets were closed and the barricades were put in place. Only emergency vehicles were allowed passage on all streets. All of the sudden I realized that I could not drive. The only way I could get out was on foot. That was 6-11 halprin.indd 7 F A L L 2007 9/26/07 11:47:29 AM Top: No this is not a countries’ flag they are my old underpants and I wave them proudly! Center: This was the day I met Shirley MacLaine, the director of DRESS CODE, the movie I starred in. She took one look at me and asked me to come to the studio to read from the script, the rest is history! Bottom: Richard Simmons has such a love and compassion for the morbidly obese, he is willing to help and he deeply feels for all of us! JAMIE Let’s go back for a moment; would you share your childhood with us? What are your most vivid memories when the dysfunctional relationship with food began? STACEY I remember the exact moment that changed my life. I was six years old. My mother was taken to the hospital with pneumonia. When they took her away I was filled with terror and despair. I was convinced that my mother was never coming back. In her absence I was given a doll made of candy. The dolls clothes were collections of all sorts of candies. I remember eating one and then another and then another until the doll was naked. I looked at the doll, threw it under my bed and cried. This was the beginning of the self-loathing and destructive eating habits that became all too familiar to me. This was the beginning of a life that I could not control. JAMIE Stacey, you admitted to Oprah Winfrey that not an option. If I could not drive then how could I live? I could not walk to the grocery or to the pharmacy or worst case to the hospital. I was frozen with fear. I remember the smell of the streets, the smell of death and destruction. I knew after this day my life would never be the same. I remember vividly thinking what would I do? How would I get out of my apartment if this attack was furthered to my neighborhood? The terror of my imprisonment, as well as the attack on my country, gripped me and I promised that if our country survived this I would change my situation forever. I faced my personal terror on the same day our country did. I took the steps to change my life, but not before I ordered in just one more pizza. Can you imagine on 911 when the world was crushing around me I still ordered in pizza? But, the very next day I kept my promise. Never would I ever be so helpless or so full of fear. STACEY Jamie, I cannot blame anyone for my circum- stances but me. I was born with the illness of compulsive overeating. I don’t blame myself for having the eating disorder, but I do blame myself for the choices I made in dealing with it. I chose to eat food to excess. I chose to block out my emotional and physical pain by stuffing myself. I needed to be honest or I was just kidding myself. Most of us will say we do not eat much, that is not true. I can tell you that I did not get to be over 500 pounds without eating. I ate whole pizzas, gallons of ice cream and anything else that I could. I tell many people that are struggling with weight to write down everything they eat for three days. Believe me, if they are honest with themselves, the page is not blank. JAMIE You are the most talked about guest on the Oprah show. Tell me how your relationship with Oprah began. JAMIE In your book, Winning after Losing, you talk STACEY When I was a child I wrote a letter to the Oprah STACEY The contrast was for the most part – day and JAMIE You openly talk about your rebirth. Would you about days that you did not open your curtains because you could not bear the contrast between realities, please tell me about that contrast. night. Night was a veil for me. I felt thinner at night. To me night time was an accessory. It seemed to me that I could hide my weight better when the sun was not shining. The daylight brought too much vision. I could see what I was missing by my imprisonment. I could see that I was dying, that life was passing me by. I remember the street festivals. I would stand at the window and see others living. I could see what I was missing and it was devastating. So, the curtains shielded me from reality - shielded me from the life that I was missing. 8 you “ate every pound that you weighed.” This is a most unconventional statement. This is a statement of full selfdisclosure and a very courageous statement. Most people wanted to make excuses for your weight. What drove you to make this statement? W L S L IFEST YLES 6-11 halprin.indd 8 show for help with my weight. I was desperate and would have done anything for help. Oprah’s show was in their first season and they picked up my story. The rest speaks for itself. take a moment to explain this? STACEY I have my birthday – the day I was born – and I have my second birthday… the day I decided to live. That day is 9-11-01. The day, as I stated before, changed my life forever. JAMIE There are many uneducated people out there that state you took the easy way out. What do you want to say to those uneducated people? www.wlslifestyles.com 9/26/07 12:14:36 PM – The path of healing is not easy. The pain does not disappear with the pounds. The pain of your lifetime begins with the weight loss and you have to be as ready as possible. This is when the hard stuff really beings.” — Stacey Halprin STACEY I say they need to become educated. You do not have to be a scientist to get it. All you have to do is know someone that suffers from obesity. The painful emotional and physical life speaks for itself. It then becomes very clear that surgery is a most difficult path. Surgery brings its own “bags” with it. It is not easy. Once the weight comes off you have to walk down a whole new path. The path of healing is not easy. The pain does not disappear with the pounds. The pain of your lifetime begins with the weight loss and you have to be as ready as possible. This is when the hard stuff really begins. JAMIE Stacey what has been the most challenging hurdle with your weight loss? STACEY Oh now you are pushing my buttons. My biggest challenge has been dealing with my body image. I deal with it daily. And in dealing with my body image it brings up all of the “stuff.” So it is not just the hanging skin, the scars from plastic surgery, it is allowing someone into your intimate world, that is not easy. It is not that I am superficial about my body - it is that I struggle with taking my clothes off and being intimate. The beauty of having all the plastic surgery is that nobody would ever guess I tilted the scale at 550 lbs., with my clothes on. Under my clothes tells the true story of my battle. I have to trust that a man can deal with that and that is the hardest thing that I ever try to do. I’ve sent many men packing before I would even give them that chance. I date guys for three or four times and then sabotage the relationship so that I do not have to face the possible reality of rejection. I am spending hours with my therapist and I cry, I cry, I cry. I will not give up. I understand that this process is for life and I will never, never, give up, this is my vow! JAMIE How did you and how do you face your demons? STACEY Head on, on a daily basis. I try to balance the pain with something new and wonderful every day - even if it is something as simple as a daily stroll with my tot Pomeranian, Gertie, who was given to me by a childhood friend as soon as she was sure I could walk a dog. I do not take this new life for granted. I know the terror and the memory serves me well. It keeps me clear and keeps me ready to face the pain and the demons. JAMIE In your book, you talk about the “fat shadow.” What is the fat shadow and what does it mean to you? STACEY Well, it is simple. I have this 500 pound shadow that follows me. I see her often. It is a shadow of a 500 pound woman, the woman that I used to be. Funny thing though, she is real to me. I see her briefly when I sit in an airplane seat or when I think about parking my car or when I sit in a restaurant booth and especially when I look in the mirror. She used to be there all the time now she comes and goes. As I deal with the issues of my pain, she comes less often and that is good. JAMIE Stacey, you have maintained your weight loss for more than five years. This is a benchmark for of success for most of us in the bariatric field. What do you attribute your five year success to? STACEY I work every single day to keep my weight off. I work daily to change my behavior. It has not been easy but I am doing it. I do it daily. I outline this in my book Winning After Losing, it is the seven step journey to better health and fitness. It addresses the issues that can paralyze you. The steps assist you in redirecting your choices and decisions to that you can fully participate in life. We, as obese people, clearly do not have these skills, or we would not have allowed ourselves to get to the point we do. Too often we are blindsided by our emotional issues that suddenly surface once we cannot hide behind the weight. I had to learn that I am in control. Granted, I hold the wheel with both hands, but I still am the one holding the wheel. Bottom line, I had to change the way that I think. JAMIE Would you do anything different? If so, what? STACEY Oh, yes, I would, many things. But the most im- portant one is that I would have made the decision of weight loss surgery long before I did. If I would have just listened to the many people that counseled me on becoming healthy, if I would have listened I would have been healthier sooner and I would not have wasted so much of my life in the prison of my mind and body and my environment. JAMIE Are you afraid that you will regain your weight? STACEY I had knee surgery and gained 20 pounds. After surgery, I was a bit nervous, but I knew that I had changed my behaviors and I also knew what I had to do. This is why it is KEY that we learn to change habits and behaviors. Food was not my problem, the way I dealt with it was. I am still working to get the 20 pounds off and I even want to lose a litte more. I do not listen to the odds, I beat them! Yes, the longer weight is maintained, the better you get at reading the warning signs that tell you that you are straying from your plan and need to get back on track. We all have different warning signs, but all red flags have one thing in common, you are doing something different than what has been working and you know it. You must understand those red flags and be ready to take action. JAMIE Stacey, what about aftercare and support? How important is this for you? STACEY It is vital to not just me but to all weight loss surgery patients. I am disappointed with most aftercare programs. They usually have two paths - one for 0-6 month patients and one for 6 months and after. They do not address people two years, three years, four years and past. Most of them meet once a month and that is not enough to change a life time of bad habits and bad thinking. That is one of the 6-11 halprin.indd 9 F A L L 2007 9/26/07 11:48:06 AM reasons that I stopped going to JAMIE Is there a secret to support groups for “true support.” success? This lack of support is what led STACEY Yes, and it comes me to write Winning After Losfrom within. You must have ing. I am also working with Focus determination, commitment, 28. Focus 28 combines some of and once and for all, deal with the the best research and thinking in pain and change your thinking. physical and emotional health in “Life isn’t about finding yourself. order to provide bariatric patients Life is about creating yourself.” with a single, comprehensive and Change your thinking by any and integrated approach to balanced all means that you have and never, All my life I wanted a dog, the moment I became mobile enough living. And, coming from a person to walk one, my best friend from childhood handed me Gertie. never, never give up! who will always love food, I have Gertie and I are inseparable, I never knew a love like this! After the interview I reflected on to say that their meal replacement Stacey and the last five years of her shake is awesome. I have created life. It led me to stop and think about how often I have heard many recipes around them that I love so much. others say that weight loss surgery is the easy way out. I am puzzled by such an incredibly dumb statement. I believe choosJAMIE Do you think you are at the finish line with your ing to remain trapped in your body is the easy way out. Dealing weight struggles? with life after weight loss surgery is one of the most difficult challenges one can undergo. Having been a bariatric nurse for STACEY Absolutely not! There is no finish line, no satin many years and having worked with thousands of patients, I ribbon and no waving flags. I am not a before and I am not have seen the pain that patients must face after surgery. I have an after, I am a DURING and I always will be. As soon as I counseled them, held them in my arms while they cried. I have think there is a finish line that assumes it is over and working witnessed friendships lost, families torn apart and marriages on our eating disorder is never over. They did not staple my fail. I have supported patients in hundreds of support group mind when they stapled my stomach. The good news is we sessions, and have watched them reach their victory and have can continue to make it on a daily basis by making better watched them fail. Easy, you have got to be kidding me! choices than we did in the past. All that I can do is continue Stacey Halprin admits her faults. She admits that she ate to develop and maintain my mind for success. When we her way to 500 pounds and takes full responsibility for her believe we have reached the finish line is when the danger actions. She appears to understand what it takes to change zone is created. behavior and she always remembers the reasons that got her to 500 pounds in the first place. Stacey works every single day JAMIE What advice to do give to those who currently are to maintain her weight. She has found the key to success and struggling with their mindset and to those that have not taken understands success must be measured on a daily basis. The the steps to achieve health? path for her has been painful and difficult, yet her courage to face her demons never wavered. She surrounded herself with STACEY People that struggle with obesity – whether or others that could help her on this journey. She surrounded hernot they have surgery – have to change their minds in order self with positive thoughts and stayed the course even on the to change their lives. They must learn to lose the weight and days she ate the wrong foods and ate for the wrong reasons. keep it off for good. Learning how to weigh consequences, Stacey is clearly winning the daily struggle of weight mainbeing willing to accept responsibility for their actions and tenance and weight regain after weight loss surgery. She is a choices, learning how to face and handle problems instead of statistic that we as bariatric health care providers should strive denying and stuffing them with food, these are key to keeping for… for all our patients. Provide the tools, provide the supthe weight off. The biggest difference in who I am today and port, teach them how to be successful and empower them to who I used to be is the way that I think. The battle is won from become successful long-term. Surgery is just the first step… the inside out, not the outside in. If anyone would have told me the journey is life-long. six years ago that losing over three hundred pounds would be After all, as Stacey proudly states, “Anyone that wants to the easier part of the things I had to do, I would have laughed win this battle and is willing to do what it takes, no matter in their face. As I stated, the pain does not disappear with the what it takes, can do it. I was able to go from being nearly pounds! Life hands us challenges and problems to solve and immobile, trapped in my body and my home to living a full, unless you learn to handle those things without overeating, you active life, if I can do it anyone can... all things are possible!” can guarantee you will be one of the dismal statistics of people I agree with her… all things are possible. ■ who gain weight back. You are what you think. 10 W L S L IFEST YLES 6-11 halprin.indd 10 www.wlslifestyles.com 9/26/07 12:12:28 PM