I permanently discontinue use of the feeding tube (whether it be the NG/NJ/PEG). I do what I’m essentially doing right now: I continue to eat three meals a day and at least two snacks. My weight more or less stays the same, but I eat. I more than likely am fired by my treatment team for not using the tube. But I have the support of my family (namely, my husband [who rocks America's face off] and amazingly fab mom) who believe that I am eating and doing better than I ever before have, and are okay (and really, prefer) the fact that I am not being tubed. They believe in me.
Scenario Sucks, Too:
I place the feeding tube again (whether it be NJ or PEG, I’m not sure). I suffer serious physical consequences that include but aren’t necessarily limited to: severe sinus and allergy problems, stomach issues, skin rashes, etc. I eat less because I’m not near as hungry due to the ridiculous amounts of Boost and/or Jevity being pumped into me. My skin breaks out in a painful, embarassing, hard-as-hell-to-get-rid-of rash. I hang my head in public, and am too embarrassed to look people in the eye. I am able to continue treatment with H and M, but I resent them a little. I gain only a small amount of weight, despite the high amounts of cals being pumped into me.
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These are my choices. M and I had a really good talk about it yesterday in our session. It was a very “adult-like” and respectful conversation. We seriously talked about my options, and she said she’d respect and support whatever I decided to do, re: if I decide to not do the tube, and I’m fired, (she hates the term "fired" by the way, but it fits because I truly feel that's what's happening to me) she’ll respect that and believe that I can try it on my own. So I have a lot of thinking to do. I vowed a year ago when I started seeing M that she would be my last freaking therapist. I don’t want to keep trying, keep starting over with someone new. So, if I’m done, then I’m done. You know?On one hand, I truly am doing quite well. My family has never seen me happier and more productive and able to survive on my own before, like, ever. I’m eating, and not just eating to barely survive, but to enjoy it. I've discovered that I love maple bars and chocolate bars with toffee in them. I allow myself to drink OJ, which before was a no-no because it had cals in it. I eat cookies and ranch and put butter on my toast. I even, dare I say it, like to eat.
…But if I do choose this path, I’m essentially telling myself (and the world) that my low body weight is okay. –But isn’t it okay? If I’m eating and taking care of myself, I shouldn’t have (and do not, presently) anything to hide or be ashamed of.
But if I go the route of the tube, it stops being for me. It turns into a power struggle, because I’m so angry I have to have this funsuck taped to my face. I eat less because I’m too full, and I hate that I want to eat and can’t. I have diarrhea more. I throw up more. My stomach hurts more. My face breaks out in a rash that makes me look like a pubescent teenager. But, then I can stay in treatment. Wait. Do I even want or need treatment anymore? I think a little, yes. But I also think I’d be okay if I didn’t have it, either.
M says that she doesn’t think it right if she continues to see me if I don’t gain weight, because by seeing her I’m essentially saying I want and need help, but if I don’t get the tube to gain, then I’m also saying I don’t want help.
Or something.
It doesn’t matter that she’s seen how hard it is for my body to gain even a pound. It doesn’t matter that she and my D look at my food log and are thrilled with how much better I’m eating.
All that matters is that damn number.
I thought the number on the scale wasn’t important. Isn’t that we’re always told, over and over?
So what gives?
I have a lot of thinking to do.

Do you ever just want to take a break? Say, TIMEOUT, PEOPLE, walk to the sidelines, grab some agua, and just chill for a minute?