Eating a Monster Meal with Friends

Brianna Albers avatar

by Brianna Albers |

Share this article:

Share article via email
SBMA swallowing difficulties

Last night, I asked my dad what I should write about for my next column about life with spinal muscular atrophy (SMA).

“Why you don’t write about the struggles you have with eating?” he suggested.

I laughed. “No one wants to listen to me complain about all the foods I can’t eat.”

“But it’s more than that. So much of society revolves around food: getting coffee with a couple of friends, going on a date to a fancy restaurant. You can’t do either of those things,” he persisted.

I thought of all the times I’ve gone out with friends — the renaissance festival, or a convention, or even just a trip to the mall. We stop at a booth or a food court and they ask me if I’m hungry, do I want them to get me anything to eat, is there anything I’d like them to grab? And I respond with my cursory (memorized, really, at this point), “I’m not that hungry. Thanks, though!” They shrug, disperse, come back five minutes later with a latte or, in the case of the renaissance festival, a huge, steaming leg of unidentifiable meat.

It’s not always a lie. Sometimes I’m really not hungry — my feeding pump runs throughout the night, so if they ask me early enough in the day, the 1,000 milliliters of formula haven’t quite run their course yet. But once the hunger kicks in, usually around 4 p.m., there’s nothing I can do but sit and watch my friends eat Cheez-Its, or donuts, or whatever they brought for our Mass Effect gaming session, and try not to think about it.

Part of it is my inability, because of SMA, to feed myself, and the shame that comes with that. There aren’t many people in this world that are allowed to feed me — my parents, of course; my aunt and cousin; my PCA. One of my friends actually got to the point where she was comfortable enough to pop Reese’s Pieces in my mouth as we binge-watched “Stargate SG-1.” But that’s about the extent of it.

Whenever my father suggests asking one of my friends to help me eat, saying, “I’m sure they’d be fine with it; they’re already so comfortable around you, and besides, it’s not like it’s that big of a deal,” I shake my head and say, “Nah, it’s OK, I’ll just sit here and pretend the Cheez-Its don’t actually look all that good.”

Which is, of course, an impossibility. Cheez-Its always look good to me.

I wish I knew why I feel this way. A lot of it is, I think, my eating process: a series of face contortions, one after another, with exaggerated swallowing motions and quiet or, really somewhat loud — depending on how tired I am — gasping noises. I don’t want people to see that part of me, the part that remains me so much of a monster, with its protruding, incongruous parts. My crooked teeth need to stay sheathed.

So the fact of the matter is this: I could, technically, go out for coffee, if I wanted to. I could have one of my friends grab a bendy straw from the clear plastic bag in my backpack, bring the cup to my lips, try to coax the straw between my gaping maw of off-white teeth. I could. But why bother? I don’t even like coffee. And besides, isn’t it better to just let my friends refuel their fallible, temporary bodies, and keep my own fueling process — which reminds me, somewhat, of a gas station: hooking myself up to a pump every night before I go to bed, filling my stomach/tank with formula/fuel — a secret?

I never want to complicate things. And that’s just how my life has been for the past 21 years. Friends were rare growing up. I didn’t want to risk alienating them by letting the monster in me poke its head out. But things have changed. Are continuing to change.

Maybe someday I’ll learn to embrace my monster, even when that means letting someone shovel ice cream in my mouth, even when it melts, even when I have a milky-white stream of tiny chocolate chips dribbling down my chin in the middle of a food court in the light of day. Someday.


Note: SMA News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of SMA News Today or its parent company, BioNews Services, and are intended to spark discussion about issues pertaining to spinal muscular atrophy.


Emma avatar


This is so well written. Thank you so much. It feels so good to be able to identify to this article. I'm in the same situation and like you said it's really hard sometimes because food is really part of most of social interaction. I can still eat a little by myself (we'll see how long it lasts) but it's complicated and slow and also tiring. I feel like my anxiety towards having meal with friends just grew so much. What will they think? It's too much for them to handle,they won't understand that i eat so little food,it will be SO AWKWARD. I'm just like you evaluating the risks,the added value,looking at their burgers and smiling politely. "It's not worth it it will be complicated i'm fine." With old friends it's different but this year i met so many new and wonderful people i really didn't want to be a burden,i'm still giving them little information now and then on my disease,little crumbs of info so that they do not panick and run away : "DAMN she's REALLY VERY disabled that's too much for me".
I have a picnic next week with all of them aka worst scenario cuz there is no table,i think there are a bit of progress because a while ago i would have invented a stupid excuse to not go. But today i say screw it i'll eat 3 crisps i'll have fun and it will be okay and if it's not, one day it will be.
Now i'm going to restrain myself to comment "SAME" on every one of your article haha. One more time: thank you!

Brianna Albers avatar

Brianna Albers

Hi Emma! I'm so glad you were able to identify with this article -- well, I'm not glad you have to experience it, but I am glad you were able to find some sort of solidarity in my words. It really is so frustrating. And so annoying that we have to essentially sacrifice our desire to eat alongside our friends so we don't appear, like you said, too disabled! I've been trying to practice openness and vulnerability with the people around me, and it's definitely a one-step-forward/three-steps-back kind of thing, but every day it gets easier, and every day I'm reminded that someday I will find a group of people that aren't turned off by how I eat, so I can only hope you find something similar eventually. In the meantime, I wish you the best of luck with your picnic! Let me know how it goes. :~)

Chris Young avatar

Chris Young

Here is a blog post about my experiences prior to getting a G-tube. Two posts later I tell the lengthy story of how I actually got my G-tube.

Brianna Albers avatar

Brianna Albers

Hi Chris! Thanks for the link -- I'll be sure to check it out. :~)

Matt avatar


My biggest issue, other than germs, is that some people are very bad at helping me eat. It's like they instantly forget physics and try to put things in that won't fit, or continuously shovel food in because they're impatient. And my favorite move: taking the drink away while you're still trying to drink.

Brianna Albers avatar

Brianna Albers

Hi Matt! My mom is the same way, mainly because she forgets -- sometimes I think she falls in this rhythm of bite bite bite, which is why I've taken to verbally (and, admittedly, sometimes forcefully) reminding her to give me a breather. I haven't figured how to keep people from taking drinks away, though, since it's not just my mom who does that.


Leave a comment

Fill in the required fields to post. Your email address will not be published.