Tag Archives: weight

Overweight…

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As far back as elementary school, I remember various “tests” aimed at assessing basic health. Is the President’s Physical Fitness program still a thing anyone does? I have some vague recollection of calipers and some kind of devious box we dutifully stretched our hands over to determine how flexible we were. Those and the damned timed mile run were the only tests I never really did well on in school. Gym classes are not among my cherished childhood memories in any case.

I assume the calipers were there to make some measurement of our body mass index. As the years have screamed past, even the AMA has admitted that BMI is not a particularly unproblematic measure of health. The fact remains, however, that it is still what’s used by most of the American medical establishment to apply some statistical analysis to body composition. Like it or not, there is a correlation between high BMI and adverse health outcomes, so it endures.

Here we get to a bit of surprising news. Apparently when I stepped on the scale Saturday morning, I magically qualified to be simply overweight instead of obese. Now, that’s still not medically ideal, but feels like it should be a reasonably significant improvement from ranging into the morbidly obese category. At least in terms of where I fall on someone’s wall chart, there has been demonstrated progress. I’d probably be more impressed if I the net result to date was, “well, I don’t feel any worse.”

The helpful BMI charts online still say I should be somewhere down around 185 to be “normal weight.” I’m still not convinced that is in any way a reasonable target. The fact is, I remain a little sore at the doc for his latest bait and switch, so as far as I’m concerned 200 is the new “final” number. If I can manage to do that without chewing off my own arm, the saw bones just might have to learn to accept a final form of me being slightly overweight and devise his treatment strategy from there.

At some point, likely sooner than later, I’m just going to decide I’ve had enough of this and get on with things on a maintenance level instead of giving a damn about whether I’m losing weight or not.

Bait and switch…

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Back in July of last year, when the medical appointments were coming fast and furious, the doc advised me to, among other things, drop 100 pounds. I weighed in at 330 that morning. I can’t argue that I hadn’t been carrying around too much weight for too long. 

At last week’s follow up, I tucked in about 8 pounds short of the goal. I was feeling reasonably proud of myself for not immediately reverting to old habits the moment I started feeling a bit better. 

That’s when the old boy did a bait and switch on me. 

I know we talked about an even hundred, he said, but I want you to take it down another 30 from there. 

Two hundred pounds flat is where they want me now. I’ve been trying to play along with all this like a good little trooper, but fuck me. 

I was close enough to taste a meal that didn’t have to have every ounce of joy sucked out of in an effort to stay under an 1800 calorie daily limit while not being ravenous enough to ponder gnawing off my own arm. And then they moved the fucking goalposts. 

I woke up this morning with 33 pounds left to drop instead of the 3 I was expecting. Bet I’m not just a little bit salty about that.

On normalcy and not hitting the panic button…

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For as long as I can remember, every medical professional I’ve encountered told me that I’d feel better if I lost weight. Having lost a not inconsiderable number of pounds, I think they may have sold me a pig in a poke. The fact is, as far as I can tell, I don’t feel any better in February 2024 than I did in February 2023. How much of that is reality versus looking backwards with rose tinted lenses, I couldn’t tell you with any degree of accuracy.

I can say with some confidence that I’m feeling better today than I have since the end of June when all my latest health fuckery kicked off. I’ve worked myself off of being medicated for diabetes. I suspect the next time I see my GP, I’ll be instructed to start back off blood pressure meds. The anxiety, which at times was just about debilitating, has receded into a background hum which mostly crops up when I have the occasional odd ache or pain or when some vital sign pops off with an outlying reading.

Since none of my extremely well credentialed doctors seems to be concerned beyond “continue to monitor,” trying to get my head into a place where I don’t hit the panic button on a daily basis is probably the right thing, but it’s been challenging. Being someone who as a child was perfectly capable of worrying himself sick, this is a bit of a work in progress.

Even if none of that were true, I know I’m feeling better than I was in the summer and fall because my reading pace is picking up. Instead of sitting here in the evening holding a book and idlily flipping pages and being entirely distracted, I’m actually reading, comprehending, and burning through pages. My attention span is coming back. I’m intensely grateful for that… it’s been a long time coming.

Simple concept, challenging execution…

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On June 28th I had an epiphany. Maybe a lot of people do when they find themselves laying on a gurney in their local emergency department waiting for tests to reveal if they’ve had a heart attack. The tests, fortunately, didn’t reveal anything immediately catastrophic, but that didn’t do much to change the simple fact that I felt awful and it was categorically impossible to keep plodding along as usual with all the warning lights that were being flashed for me. 

So, I did what any reasonable person would do… I slashed salt, downloaded apps, poured over internet discussion boards, and scheduled appointments with any doctor I could think of that might help get to the root cause of why I was feeling so badly… and more importantly why my heart occasionally decided to make a big show of trying to thunder out of my chest. Months of tests, scans, consultations still haven’t definitively what was going on with me through the summer of 2023. They keep poking at it, though, so maybe we’ll find out at some point… though as my symptoms have diminished, I’m less optimistic that will happen unless they reemerge and can be captured on one of their fancy tests or scans. If I’m honest, the part of me that things better out of sight and out of mind is winning out over the part of me that wants conclusive answers.

One of the deals I made with myself laying in the ED back in June was that I would finally head the medical advice I’d been getting for as long as I could remember. I couldn’t control the test results or the lack of official diagnosis of what was happening, but I could, in theory, control my weight. It had to come off and it had to happen in a significant way. As someone who’s life is almost defined by being a dedicated creature of habit, it would be arguably one of the hardest goals I’ve ever set for myself… and one I was being drug too unwillingly by my own traitorous body. 

July 1st I weighed in at 330 pounds. Not knowing a damned thing about weigh loss, I set an arbitrary goal of making it down to 250 by the end of the year. Eighty pounds. Six months. I had no idea if it was doable, or even if my own brain would let me stick with something I hated with a passion for that long. 

I downloaded the LoseIt app, plugged in my vital statistics, and told it I wanted to lose 1.5 pounds a week. It spit out how many calories I should be eating each day… and that’s when I realized I had no idea how to effectively measure food. After that it’s been all weights and measures before anything gets on my plate. If you ever want to take the romance out of food, definitely weigh it all up first.

If June 28th was my epiphany, buying that damned kitchen scale was a light bulb moment. I’d been protesting for years that I wasn’t eating absurd amounts of food. That’s objectively true. What I was eating, however, was incredibly calorically dense. A proper 400 calorie “serving” of lasagna is preposterously small. Same with anything involving cheese, really. Once I accepted the scale, though, things started happening. Yes, I was ravenously hungry all day every day, but the weight came off at a rate closer to 2.5 pounds a week than my planned 1.5. Chalk that up to the limited additional exercise I was willing to program into the day’s limited hours. 

Two months along, I discovered I wasn’t ravenous anymore. I was hungry for sure, but felt decidedly less likely to chew my own hand off. That’s about the time the anxiety I mentioned in last week’s post started to make its presence known. After that it was pretty much a war between my own stubborn determination to lose weight and my brain screaming that something was wrong. We seem, for the moment at least, to have concluded that particular war. I’m particularly grateful to that particulate respite.

What have I learned? Well, for me, losing the first tranche of weight was simple – radically decrease the number of calories going in while moderately increasing the number of calories burned. Calories in, Calories out as the people in the forums are fond of saying. The catch is, although the theory is simple, not a single part of it is easy. Learning about calories, how to measure them, abandoning long cherished menu items, learning to cook new recipes in an entirely different style, and sometimes being hungry all day no matter how well planned your meals are is hard. It’s damned hard. Every step of it is a goddamned fist fight with yourself. 

This how I sum up my experience so far… it’s an incredibly simple concept, but wildly challenging in execution.

I don’t think this process have given me any special insight. I still don’t know dick about losing weight. I don’t know much about macros or the fancy concepts of nutrition. I’m just a guy over here using an app and a scale to try to keep everything the experts say you need in between the lower and upper limits. Some days that works better than others. 

Anyway, I hit my mark of losing 80 pounds two weeks early. I’m still losing – down to 248.6 as of this morning. All the charts say at my height, I should “ideally” weigh in at 185 pounds. Frankly that sounds unreasonable. The chance of me hitting a weight I haven’t seen since high school at the latest doesn’t feel like something that’s achievable. Now 220 or 225, something that puts me in the range of being merely overweight instead of obese, does seem that could be within reach.

I’m plugging in my next goal as hitting 225 before June.

We’ll see how it goes.

What Annoys Jeff this Week?

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Since Saturday I’ve been in near constant pain. Ice, heat, icy hot, stretching, pain killers, alcohol, and the chiropractor seemed to all have minimal impact on correcting that issue. Even so, I’m feeling better tonight than Ive felt in six days.

“Why’s that?” you ask. Well, let me tell you. As I was hefting my 55 pound dog into the truck this morning, my back gave off three mighty pops. I’m surprised the neighbors didn’t hear it. Immediately afterwards, though, I could once again move my neck like a normal human being.

Sure, it’s not 100%, but in comparison to where I was before picking up the dog, there’s no contest.

If I’d have knowing doing squats with one flailing dog-weight clutched to my chest was the answer, we’d have had this all sorted out days ago and this little vacation week of mine would have been far more enjoyable.

Don’t think for a moment I’m not more than a little annoyed at how the whole thing has developed.

I’m going to get a lecture…

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I’ve been successfully avoiding the doctor since this whole COVID-19 dust up started.  Intentionally schlepping into a building designed to cater to sick people didn’t feel to me like a particularly good idea. Sure, my own brand of sickness is killing me slowly and needs attention from time to time, but avoiding the kind of sick that causes swift death from lack of oxygen was more of a priority. 

It’s been a year since my last checkup. I’ve mostly felt fine, or rather anything that’s bothered me pre-dates COVID-19 by a matter of years and been around long enough that it all feels like my version of normal. The doc kept refilling prescriptions on schedule and I was happy enough staying put until the world sorted itself out.  Apparently, though, doc has a philosophical problem with refilling scripts for someone he hasn’t personally seen in a year. That’s fair, I suppose. Inconvenient, but fair. 

I already know most of what he’s going to tell me. I’ve picked up weight during the plague. That’s likely a side effect of working my way through the comfort food cookbook half a dozen times over the last year. My blood sugar is running higher. Again, a result of the carb-heavy cooking and an increased intake of gin and tonic.

I’ve never been a paragon of healthy living. No one knows that more intuitively than I. When you add in my natural predilections and preferences to a world that has steadily condensed into only the pleasures I can find here inside the compound, well, the results shouldn’t be surprising to anyone. Trolling through flea markets, antique malls, old book shops, and secondhand stores have all been wholly replaced with the joy of tasty food and drink. It’s not optimal, but it’s what it is.

I’m going to get a lecture next week. I’m quite certain of that. I’m going to get a lecture, but I’m going to get my prescriptions refilled, so it’s probably a fair trade. 

What Annoys Jeff this Week?

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1. Being a ping pong ball. After many years of attending far more meetings than I want to recall. fortunately in that time I’ve cultivated a lead ass and a steel bladder, making it possible for me to endure just about any time suck thrown at me. What I don’t think I’ll ever get use to is the sheer volume of the damned things they throw at you while expecting you to get actual work done in the few minutes between them. Two before lunch, two after, and one blown off because it was scheduled after close of business. Add to that the slides, pre-meeting questions, general coordination, post-meeting minutes and that leaves about 45 minutes of the day in which real work might actually happen, except of course 30 of those minutes belong to lunch and even that gets interrupted a couple of times. It looks like I’m going to need to find a hidey-hole if I want to carve out a minute or two to have an actual uninterrupted thought for the foreseeable future.

2. Focus. Somewhere during my recently concluded vacation, I apparently lost my ability to focus. I’m sure it’s not helped by the ping pong routine referenced above, but it was brewing long before that. I can’t seem to string more than three sentences together without my brain running off in some other direction. I’m sure it’s not the worst thing in the world, but it’s a damned annoyance when you get home, try to spend some time working your “second job” and can seem to squeeze a coherent thought out of the space between your ears.

3. My shoulder. I’ve been ignoring the nagging pain in my shoulder for a while now. For the last year or so it’s one of those things that comes and goes. Lately we seem to be in a mode of it coming more often than going. I’ll spare you the image of the face I make when I accidentally reach for something over my head. It’s probably one of those things that’s funny, just not to me. I’ve got a check up coming at the end of the month. Maybe I’ll remember to bring it up, if only because it might distract the German from yelling at me for packing on a few more pounds since he switched my meds and still loving red meat. Unfortunately, I suspect that kind of distraction would require some kind of major trauma in the head and chest region, but I’m willing to roll the dice on that.