Yeah, I have celiacs, and let me just state on the record that I am fully aware that it sucks. It is deeply, deeply, annoying. Thanks, I got that. It has also made my life IMMEASURABLY BETTER, such that I feel like I have a WHOLE NEW LIFE now that I am not eating the dreaded grain protein. And, ya know, I try to concentrate on that last bit. EVERY ONE ELSE IN THE WORLD, however, is fixated on how terrible celiacs is, and it makes me want to punch the whole world in the fucking face until it cuts that shit out.
I went to the park yesterday by the river to lay in the sun and read a gazillion pages of case materials for my clinic (I don't know if I mentioned here I am working on a trafficking case? I am. It is going to be an AMAZING experience). As I was walking home, I thought for a treat I'd stop in one of the newer cupcake places here in Old Town that I know makes gluten-free cupcakes (also for the record, Lavender Moon Cupcakery makes the best gluten-free cupcake I have ever, ever had. It's heaven, with frosting). While I was standing in line, the woman in front of me pointed to the gluten-free cupcakes and said to her friend, "Oh, UGH. Those must be awful." And so I spoke up and said, "Yeah, some of us don't have a choice, but thanks for that, much appreciated." The woman turned around and began to apologize, and the lady behind the counter attempted to convince her that they were actually really, really good because they were made with coconut flour, but basically, I was pissed.
Now do you walk up to people who are eating food you don't like and point to it and say, "OH, EWWW"? No, because you have manners. Yet you would not BELIEVE the lack of manners that come out when it comes to me and my celiac disease and my eating habits. And for a girl who struggles with eating problems, this never goes well. So here's a handy guide to not being an asshole to someone with celiac.
For those of you who live on other planets without google, celiac is an auto-immune disease (and NOT an allergy) where if you eat gluten, the protein found in many grains, your body decides to wage war on your small intestine. It's different from a wheat allergy, in that, well obviously, that's an allergy, but gluten is found in more grains than just wheat, so celiac folks have to cut out more grains and can't resort to, like, spelt, which has gluten. It's genetic, and it's estimated 1 out of every 113 people has it, so it's not especially rare. A lot of people have it and do not know, or they get diagnosed later in life (and some people with very bad arthritis go on gluten-free diets to reduce pain - gluten seems to cause a lot of swelling in the body). Many people who have been diagnosed with other illnesses, like Crohn's or Irritable Bowel Syndrome, are now getting tested for celiac's and finding that was actually the problem in the first place.
My stomach and digestive system used to be a MESS. For a long time, doctors and I assumed it was because I got so very very sick when I lived in India when I was 20 and 21 - and I do still have parasite problems, like amoebic dysentery flare-ups - those never totally go away (and they are as fun as they sound). But the problems just kept getting worse in my 20's - my stomach was often painfully big and bloated, I almost always had gut pain, I was tired and felt like I wasn't getting enough nutrition from food, I couldn't digest anything well. I finally had a doctor when I was 26 who said, um, I don't think this is just parasites, I think there is something else going on - and hooboy, was she right. The first week I was off gluten, it was like the very angels of heaven had come down and were singing hallelujah choruses just for me - the pain disappeared. The bloat was gone. I was sleeping well, feeling rested. I had more energy than I could ever remember. It felt nothing short of miraculous.
It thus took a while for the realization that this would also kind of suck, being gluten-free, to sink in. It means that my food is more expensive, I have trouble finding snacks if I need them and I am out and about (and I am hyploglycemic, so sometimes, I NEED THEM; I usually have to make sure I always have something on me), I can't do social things like eat pizza or drink beer, I have to cook a lot, it makes it hard for people to cook for me, I have to quiz waitstaff at restaurants and scour menus and ingredients lists, and I pretty much have to think about what I am putting in my body ALL THE TIME. And for someone who can get into pretty fucking unhealthy spirals over what I put in my mouth, this is not really helpful.
So, here's some things that are ALSO not helpful:
1. Do not react to someone telling you they have celiac by announcing that that sucks. As I've stated, WE KNOW. Also, it doesn't, and every time I try to be a normal person and eat wheat, I remember why it is awesome that I do not anymore. Do not look at the person with celiac as if you now can only pity them. I promise you, they are a lot happier to not be eating gluten at this point.
2. Don't get cranky if there is a thing involving cake for someone's birthday and I don't go. Look, no, I don't always need to eat what everyone else is eating and I don't always need to be accommodated (and I am a vegetarian, so I got over this long ago), but what WILL happen if I have no cake is someone will ask me if I am on a diet, which will make me want to stab them, and then I will have to explain why, and then answer all their questions (This usually begins with, "Oh my god, so what can you eat??? And if I am not feeling indulgent, I will only say, "ONLY GRASS. I have to go out and graze with the cows"), and then they will react with #1 above, and then I will have to go through this EIGHT MORE TIMES. Also, I will get at least three reactions like #3 below, and these are infinitely WORSE.
3. DO NOT TELL ME HOW LUCKY I AM BECAUSE THIS PROBABLY MEANS I CAN STAY THINNER. This is not a weight loss tool, how dare you suggest that about my auto-immune disease, and also, FUCK YOU.
4. Fucking google, people. Use it. Maybe I don't feel like talking about my celiacs today. Go learn yourself. If you are dying to know whether I can eat a certain thing or not, that's why phones connect to the interwebs now.
5. Do not announce you cannot survive/would die without pizza or beer or WHATEVER. You're being hyperbolic and stupid. You're also erasing the fact that people with celiac don't have a choice, and now you're just throwing their limited diets in their faces. Also, you are an ego-centric prick, and if you say this, I will respond to you with, "I know, I have to talk myself out of suicide EVERY DAY," and then I will glare at you in such a way as to make you uncomfortable, and it's really hard to tell whether I am kidding or not sometimes. You will feel bad. So let's not go through this.
6. If you are willing to cook for me for dinner or a potluck, great! Thank you! Now please do not text me every three seconds about whether the ingredients you are putting in are safe or not! See #4. Also, if the google doesn't know, I don't know either, so don't ask.
7. People with celiac are not on diets. I used to have a friend who would dangle bites of brownie or cake in front of me and say, "You know you want a bite," trying to tempt me into eating it. I am not trying to cut calories. You are not tempting me into eating yummy sweets I am depriving myself of by choice; no, what you are asking me to do is hurt myself, cause myself pain, and make myself sick. That's not cool.
8. ALSO do not eat yummy sweets I cannot have in front of me and announce, "Oh my god, I am so sorry you can't eat this, it's so good." You are now just as much a prick as the fucker in #5. But also don't say, oh, I won't eat this in front of you because you can't have it. I don't need to be coddled. I will not cry if you do. I am quite fine with you eating whatever in front of me. Just don't be precious about it.
9. DO NOT ALWAYS MAKE ME PICK THE FUCKING RESTAURANT. You would be amazed at how good I am at picking out the things I can eat from any menu. And if I have a problem with your choice, or I'm pretty sure I can't find much there, I will say something, but do not put all meal decisions (even the ones we make at home) on me.
10. All the weird ways that people make food and the food we put in our mouths and our eating habits public and about morality and up for comment, especially when it comes to women? All that shit, do no transfer it to me. What I eat is not up for comment. Don't put your eating issues on my disease, thanks.
I am quite sure there are more, but I am tired. But, if you are my friend, and you manage to not violate any of the above, I will make you some gluten-free brownies someday that will knock your socks off. You will take a bite, and groan, and your eyes will roll back in your head, and it will never occur to you that you need to inform me my celiac disease must suck ever, ever again.
*** Edited to add - someone brought up appropriate responses? I put them in a comment here.
"You must be on a diet!" Fuck, people can be STUPID ASSHOLES.
ReplyDeleteI've always found dietary restrictions to be a challenge and an opportunity, rather than something to either to pity or to tease. I myself am vegetarian (by choice) and mildly dairy intolerant (not life-threatening), so have a more-or-less vegan diet most of the time. A few years ago I found myself courting someone who was "allergic to vegetables". Very little overlap, you might think--but it was fun to find out what we could make work. More recently I've been romancing someone who is wheat intolerant--again, I know that's not as restrictive as coeliacs, but it was fun experimenting with different kinds of flour and bread and pasta.
ReplyDeleteI don't get so many people telling me my dietary restriction sucks (more often people roll their eyes like I'm the one being a pain in the ass), but if they did I think I'd be genuinely bemused. Dietary restrictions of one kind or another have opened up so many possibilities that I didn't know existed, so I'm quite excited by it all.
And I have to say, cupcakes made with coconut flour sound *great*!
Power to you for this post. Good luck finding more great food you can eat.
I have potentially fatal food allergies (peanuts, to name one), so I can sorta relate [especially to #1 and #5]. Hilarious post; thank you for writing it. :D
ReplyDeleteOh fuck no. I've been thinking about getting tested for coeliac because of the things that trigger my IBS. People are already buttholes enough about that without it being official that I can't eat stuff. I share your attitude that they can just fuck off, but I really don't want to get any more of this crap, you know?
ReplyDeleteI'm technically underweight (according to this one shitty doctor anyway, I look pretty normal so she can shut the hell up) and people just do the whole "Yeah you gotta get some meat on you, just have one slice of pizza" thing. Well, no, that's telling me to eat something that will keep me up all night and make me miss work, just because I don't adhere to your body standards. Not quite the same as the whole diet thing I guess, but it's another side of the body-policing crap people do instead of realising you have a medical problem. I also get the "Oh you can stay thin without those carbs!" reaction from point 3. Ugh.
And now I'm going to stop talking about my own insides and say thanks for writing this! I almost wet myself laughing, in a good way (and now I want to make gluten-free brownies).
Argh. My 2-year-old has had serious digestive problems since birth, and they cause her extreme pain, internal bleeding, and that sort of fun. Her specialists thought for a while that it was either Crohn's or celiac disease, among other things. People's reactions to a baby that can't apparently eat like a human being are insanely frustrating: "It's probably just colic!" "Did you try cutting out dairy?" "You know, prune juice helped my darling Scotty so much!" "Yeah, my baby burped once, and it was so scary! I know exactly how you're feeling!" Fuck you, jackasses. Shut the hell up.
ReplyDeleteQueenjulie, I cannot imagine how fucking infuriating that is. How fucking patronizing, "I know exactly how you're feeling." People are terrible.
ReplyDeleteAlso, I really hope the Little One is ok now, or at least the docs know what is causing the problems and she is on her way to getting better.
I reckon I'd automatically have said "that sucks". Infact imagining the situation I find myself automatically reaching for the "that sucks" as filler before I think of something non-annoying to say. Dammit!
ReplyDeleteI also have a lot of "food problems" and I've decided I'll eat how I want to eat, skipping the things that will kill me but occasionally indulging in the ones that will just hurt me. This is my choice. Do not try to take my food away. Do not lecture me on what I am eating. Do not give me a woeful, hurt silence. I am an adult woman and if I want to eat this thing that will have me throwing up for the rest of the day, I will fucking eat it.
ReplyDelete@Queenjulie - For all the considerable challenges of motherhood that I know of, I imagine one of the biggest would be the continual avalanche of well-meaning but clueless advice.
ReplyDeleteI know heaps of people with Celiac's, my sister has it for one and figuring that out did wonders for her health. Since I've started looking, I'm actually really pleased with the fact that Sydney seems to recognise the prevalence of it as a whole, so most places do offer gluten-free options (peanuts are another story entirely...). I'm surprised and disappointed that people don't seem to have clued into the fact that not being able to eat something is not something to be a dick about.
ReplyDeleteIany, yeah, you know what city was amazing for me? CAPE TOWN. Cape Town, how I love you. I could order pizza along with everyone else and get it delivered. Almost everywhere had gf menus or had marked what was gf on their regular menus. It was really, really, great. Far far better than anywhere I've ever been in the U.S., NYC included.
ReplyDeleteAnd cheezopath, you know, I was trying to think of responses that I have liked, and it's not like, "That sucks," is the worst, but you hear it ALL THE TIME. So, someone once said to me, "Oh, were you a beer drinker? I bet you miss good beer." And that made it not a, like, oh, you sorry sad person with a disease who is Other, but like a person making a connection and sympathizing in a way I really appreciated (for the record: I loved beer. I miss it awfully). I've had people respond with, "Yay! You can eat all the sushi you want!" which is a stellar response (and yeah, I know to stay away from soy sauce). One person said, "Thank god chocolate is gluten free," and someone who knew me well said, "God, can you imagine if you couldn't eat cheese? You've been spared!" because, ok, if you know me, you would know I looooove cheese. So, I think responding with a positive, like THANK GOD YOU CAN STILL DRINK COFFEE, or whatever, is a better way to go.
Wow, Gayle -- thanks for writing this. I would like to link to it, if that is okay with you?
ReplyDeleteWe had a friend that came over on a regular basis and we always served dinner, and she was going through a "docs don't know what is wrong with me" phase in her life recently (I have so BEEN THERE AND DONE THAT!) and when she mentioned celiac, we told her that we would find ways to keep cooking dinner. She became kind of tearful, and we did not understand why -- that's just what you do for friends, right? We didn't push it at the time, because we thought we had upset her.
I think I get it now.
(It turned out to be her gall bladder, and she is now recovering from its removal.)
Patient C, you may absolutely link, thank you for asking, and I might have teared up, too. I am always so grateful for people who don't blink an eye at feeding me. To not have to feel bad and apologize for the condition you have but you didn't want or ask for? Is sadly rare.
ReplyDeleteThanks for that. Very informative.
ReplyDeleteJust a year ago I met someone with celiac, and she lives with a vegan (I'm in a program that focuses on the environment, so really she's not in the minority; there's always someone bringing free-range chicken eggs or making veggie-only pitas and rice cakes at a gathering). My biggest problem is that my family has always been food givers. Friends come over, you offer them food right away. If they're thirsty, they can drink the expensive soda instead of water from the tap. We'll make you pancakes if you come for breakfast! Don't even bother asking; just go to the fridge and find something you like if you're hungry. If we're having something a little expensive for dinner and can't afford another person, then could you please come over later? We're not going to eat in front of you without offering (if you can't come over later, everyone gets a smaller portion). That sort of relationship.
ReplyDeleteI can't tell you how many times I've offered this poor friend part of a snack just as part of that politeness only when she said, "No, thanks," it was like, "Right! Sorry. That was thoughtless." I really need to work on it.
This kind of strikes a chord with me (by the way: Hi!I've been lurking for a while. I really like your writing) because over the past two years my body has upped and rebelled. I'm not sure what's wrong exactly; I'm having a hard time identifying what needs to be cut out. I can't drink milk anymore, or eat anything overly greasy, or candy/chocolate, and I don't understand.
ReplyDeleteAnd the most common reaction has been "well at least you don't have to diet tee hee"
God I hate the world when I hear that. I just wish I could find out what exactly is wrong with me, so I'm very glad you did!
Alecto, hi!!! And yes, I want to punch those people who mention dieting in the face, too!
ReplyDeleteThe double-punch of both making light of your medical issues and then the expectation EVERYONE should be dieting is just gross.
I really hope you figure out what's going on, and can take good care of yourself. Please let me know if there are updates? I shall pray to the goddess of digestion (um, I don't know, I feel like the goddess should be fucking named "Celiac," which sounds vaguely Greek to me) for you.
I too have Coeliacs and am fucking sick of everyone's comments, mainly point five being the worst, as if you'd even fucking say that, I mean before I was diagnosed with Coeliac I wouldn't be like "oh fuck man that sucks" or "I'd kill myself if I got that" however I really do like your response to this and will definitely be giving it a go =D. Cheers and I hope your message gets to people.
ReplyDelete