A nurse at the Edinburgh Royal Infirmary weighed me yesterday and the results came as quite a shock. I have ballooned from 8.5 stones to 12.5 stones in the year since my last appointment. Yikes.
Perhaps the weight gain wouldn't have been such a shock if I weighed myself regularly. But which guy actually bothers to weigh himself? What's the point? When you grow breasts it's time to lay off the pints and pies, until then... keep scoffing, I say.
Achalasia is a condition where the nerves in your esophagus stop working. Nobody knows why this happens, although it may be genetic. Peristalsis is not possible, your gullet no longer squeezes food down into your stomach. You can eat, but your lunch ain't going anywhere south of your throat. The food sits there for a while, above your stomach, then comes back up again, violently. You soon learn to avoid eating out in restaurants.
You get thinner and thinner.
Eventually you begin to starve to death. Your stomach contracts and hurts from lack of food, but the discomfort passes after a while. Hunger is something you get used to. After months of Lucozade and thin soup, you don't miss the feeling of food inside you. You no longer have any energy, of course. Climbing stairs becomes difficult, then walking, then getting up in the morning. Your arms and legs turn to sticks. Ribs protrude. Your face tightens around your skull. Your arse looks like a deflated balloon.
One day you can't even manage the soup. So you drink Lucozade and puke half of it up and get skinnier and skinnier. Your elbows become thicker than your biceps, your knees bigger than your thighs. At some point you find yourself sleeping for most of the day. You've lost all interest in food by then. You just can't be bothered.
Twelve and a half stones is fine for a six foot tall guy, but eight is much too light. Unfortunately it's unavoidable if you have achalasia and you're part of a healthcare system where queues are the norm and doctors in the fucking accident and emergency department of St John's hospital in Livingston look at you after you've had nothing whatsoever to eat for more than half a month, then shrug and tell you that you can have an appointment in another three weeks.
"So it's ok if I don't eat anything for another three weeks? I feel pretty weak right now."
"Well, no. You must try to eat something."
"But I can't eat anything. It won't go in my stomach."
"You need to try."
I didn't have the energy to argue, but fortunately my dad did. He got me out of that morgue-waiting-room in Livingston and straight to a specialist in Edinburgh. Two days later, they had the problem diagnosed and fixed. (A procedure called a pneumatic dilation where they stuff a balloon down your gob, inflate it, and pop open a passage to your stomach.) It doesn't even hurt very much.
Then you think about those kids in Africa with the distended bellies and needle-thin arms, all those thousands of families who would eat
anything if they could just get their hands on it. And then you watch someone like David Blaine starve himself in a perspex box on Channel 4 and think, you utter twat.