Tag Archives: doctor

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DAY 302: A shot in the arm

I had my follow-up appointment with my doctor today for a progress check on my weight loss.  Again, she commended me for my efforts and affirmed that they were paying off.  She told me she didn’t think we needed to do blood work to check on anything; my weight was going down, my vitals were strong, and from our conversation, she knew I was doing everything right.  “Your body loves you right now,” she told me with a massive smile.

We talked a little bit about what I was doing, how many steps I’m getting these days, and whether I was sticking with my goal weight as my target.  She updated my file on the computer and recommended another check-up in another 6 months.  I know that in that moment, we were both imagining where I’d be at that point.  I said, “I’ll be just about done!”  She said, “I won’t even recognize you!”

When I told her I had lost 100 pounds since starting this madness, I received another high-five and another “I’m proud of you” to go with the ones I collected from her last time I was there.  She complemented those with commendations for checking in with her as an accountability measure rather than to ask for diet pills or other prescription shortcuts.  As we were wrapping up, she asked me if I had gotten the flu shot this year. I told her I had already been sick with something flu-adjacent this year, and she said something like, “There are several strains this year.  It would still be good to get one.  It’s the only thing I can offer you!”  I laughed, decided it was a good idea, and indulged her need to feel like she had helped her patient.  And man, for the first time I can remember, the shot actually kinda hurt.  Thanks a lot, enormous arm muscles/possibly sadistic nurse.

Talking about this in medical terms, from a purely scientific standpoint, really helps me.  My doctor is able to confirm from a whole other angle that what I’m doing is working, and she tells me with amazement in her voice how great I’m doing by not looking for quick fixes.  She’s proud of me for tackling my problems head on, for not going on crash diets, and for pushing myself physically without endangering my health.  I went straight to the gym after seeing her, and I KILLED it from start to finish.  That woman always reminds me how powerful I am!

So, once again, my doctor gave me a shot in the arm.  And then, she gave me a literal shot in the arm.

This whole little weight-loss gamble?  Worth a shot.

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DAY 301: New York times

This was a monumental weekend for me, so I’m just gonna go ahead and overshare the whole thing.

If you follow my posts on DietBet, you may know that I spent the MLK Day weekend in New York. I have a handful of NYC-based friends who are all from different parts of my life, but each is dear to me in a special way. Before life became a monomaniacal weight-loss revolution, I used to visit New York several times a year to see these special people, but until this weekend, I hadn’t been there since the summer of 2014. This was my first totally free weekend in a while and will be my last for the next 3 months, so I decided it was high time I catch up with my favorite New Yorkers.

I left work early on Friday to hop on my bus outta town. As a Recovering Fat Girl, I traveled in a totally mad fashion, sacrificing luggage space most people reserve for clothes so I could instead fit cold lunch to eat during the trip and my snack staples for every single day I’d be gone. (Traveling light is a lifestyle impossibility for me these days, but I’m posting this from the train back and not at all regretting that choice – just ask those carrots I’m about to tear into.) During the bus ride to New York, I had no Internet service and couldn’t concentrate on the magazines I’d brought along to read because the dude next to me was distracting me with his endless phone calls. That’s when I remembered that my lifelong friend, the daughter of my dad’s friends since college who truly grew up with me and has shared so many experiences and family memories with me that we think of each other as sisters, had been trying to get a hold of me. I sent Sis a text and asked if she could talk now, and a few minutes later, we were on the phone. (Two can play that game, noisy seat neighbor! / I have become the enemy.)

Long story short, her reason for trying to reach me was to ask me to be her maid of honor in her wedding next year.

I had figured and hoped that she would ask me to be a bridesmaid, but I didn’t see MoH coming, even in spite of our close relationship. I was so moved when she asked me that I couldn’t even speak. She of course knew why and said, “DON’T CRY, you’re gonna make ME cry!” My response was, “Fuck you, I’m on a bus!” Sweet story, huh? More for family lore. 😉 We both laughed, gushed about how much we love each other, and then she re-asked me so I could accept without profanities, like a fucking lady.

This means a lot, lot, lot to me. I can’t wait to stand beside my only “sister” on the happiest day of her life. I’ve also never been anyone’s maid of honor before, so honored is exactly how I’m feeling.

And to take this in a completely selfish direction, I can’t help thinking that I actually might not be that sad, fat, single girl whom people assume was put in the wedding party out of pity when Sis’s wedding day comes. I’m going to be able to buy my dress from the same store as the other bridesmaids. I’m going to wear it without being self-conscious. I’m going to walk down the aisle without getting winded. I’m going to be able to stand around in heels all day without thinking about it. I’m not going to ruin her pictures. I’m going to eat her wedding cake without fearing that people around me are looking at me and thinking, “ooooh, she really shouldn’t be eating that.” And I’m going to dance my ass off at that reception without breaking a sweat.

The remainder of the bus ride passed pretty quickly, as I was lost in my excited thoughts.

Once I arrived in New York, I subwayed it to meet a friend for dinner. He looked up from the table where he was waiting when he heard the door open, but did a double-take because he didn’t realize it was me. When I got to the table, he stood up and just said, “Hi! You look great!” And then I ate my face off and it was awesome.

When we reached his building, I hoofed up these stairs all the way to his 5th-story walk-up and wasn’t winded until the 4th floor instead of the 4th step.

stairs

I weighed in for a round of a Transformer DietBet at his apartment the next morning. Later, I met his boyfriend and wasn’t the slightest bit shy.

After that, I met up for brunch with a friend, my cousin, and his girlfriend whom I was meeting for the first time. We stayed chatting and laughing for hours. I ate my face off and it was awesome.

That night, we watched a mind-blowingly awful AFC divisional game and then went to my friend’s favorite Indian restaurant for dinner. I ate my face off and it was awesome.

Yesterday was day 300 of my mission. I commemorated it with a banana for breakfast, then brunch at a restaurant where another friend works in the Flat Iron District. I hugged the shit out of him and laughed harder than I have in ages with him and the girlfriend who came with me. He sent essentially the entire menu to our table for free. I ate my face off and it was awesome.

We stumbled through our food coma daze back outside to watch the other AFC divisional game, and it was the first snow. I felt my inner child surge back to life as I caught giant snowflakes in my mouth while zigzagging around the tourists on 5th Avenue and feeling the cold wind whip around me while we waited for our transfer on a platform outside. We got home, watched the game, and concluded the day with pierogies. I ate my face off and it was awesome.

This morning, I peeled my calorie-soaked, sleep-deprived self off my friend’s sleeper couch and staggered to the train station to go home. I took a banana with me, then chose a cup of watermelon and a bran muffin from among the donuts, pastries, and bagels for breakfast, and a hearty salad from among the sandwiches, pizzas, and fried chicken for my on-board lunch for later. I know how to not eat my face off, and it is awesome.

Experiencing New York without that extra hundred pounds was a completely different way of doing it. I wanted to walk everywhere and I exhausted my friends with my nonsense. I tackled all those subway and apartment-building stairs with reckless abandon. I wove in and out of gawking tourists in Midtown with the speed and agility of an aggressive ballerina. I ate shitty stuff, but not a gluttonous amount of it. I fit comfortably onto the subway, inside of elevators, and into restaurant booths. I felt like I got to fully participate in every part of the weekend, and it’s all because of how different my life is now, after all this weight loss and what comes along with it.

I’m seeing my doctor tomorrow, and even though I didn’t hit the weight I was hoping to in time to see her, I am really looking forward to the check-up. I can’t wait to tell her how much I ate my face off, and how awesome it was do it with the joy in my heart that comes from knowing it wasn’t a big deal because I’ve got this. I can’t wait to tell her I’ve lost 100 pounds and am gonna finish the job this year. I’m so excited to eat the healthy meals I spent the first part of my last morning at my friend’s house planning out today. I can’t wait to see what the scale says on Sunday. I can’t wait to pick out my MoH dress.

And yet, I’ve somehow learned to be patient enough to permit indulgent brunches with loved ones here and there. That’s part of being fearless. I’m practically giddy with the knowledge that I almost definitely gained weight over the last 3 days, and I’m about to work it all off and then some. That’s part of being confident.  I’m anxious to get the hell off of this train so I can go to the gym today.  That’s part of being healthy.

Am I a little crazy? Hell, yeah. Am I emotionally high from quality social contact this weekend? No contest. Am I a giant nerd about this whole weight-loss thing all of a sudden? For sure. Want me to say it? OK: I’m a total loser.

That’s what makes me a winner. 😀

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DAY 290: Sweet dreams

My subconscious is hilarious.  Between the competitive baking shows I’m now hooked on watching and the absence of sugary deliciousness in my life since leaving my family after Christmas “break,” I am constantly dreaming of desserts!  I wake up in the morning half-convinced that it was all true, and I really spent the past several hours pigging out on brownies, cupcakes, cookies, cakes, pies, fudge, ice cream, and solid blocks of chocolate.

I’ve had this type of strange dreaming happen before:  when I very first started losing, and over the summer when it started getting tiresome.  I’m not worried about it, I’m purely amused.  It’s like my inner child is screaming for goodies and the only way it can have them is in my nocturnal imagination.  OK, inner child!  Enjoy the fake calories!

One of the key things I’ve embraced from the start is not to practice absolute, categorical denial of anything.  I have sound reasons beyond the obvious “I don’t wanna,” and they’re my big 3:

  1. It’s unrealistic.  Eliminating entire swaths of food from your diet may yield drastic losses in the beginning, but it’s not sustainable in the long term.  Once you inevitably reintroduce your no-no food group, there’s a much higher likelihood that you will over-indulge like a fiend, and you’ll end up right back where you started.  Furthermore, are you really going to go through the rest of your life without ever having another slice of birthday cake, glass of champagne, or piece of candy?  No, you’re not, and you don’t want to.  Admit it now and you can work around it.
  2. It’s unhealthy.  The secret to all of this is balance.  If you cut out a whole brick of the food pyramid, you’ll have to figure out how to consume the good nutrients that were in that brick from somewhere else.  That’s math you’re not going to want to do.  Just eat less of the less-good stuff and you’ll be fine.
  3. It’s avoiding the real problem.  If you’re an over-eater, losing weight is extra challenging, and that’s because you don’t know how to eat just enough.  Without mastering moderation and portion control, you’re not going to truly change the bad habits that landed you in Fat Land in the first place.  You have to invest the time in training yourself to learn this new way of nourishing yourself.  Swearing off certain foods is not the way to do that.

 

***Of course, there are exceptions to this:  foods with no nutritional value, or that are chemical based rather than nutrient based, like pop.  I fully gave that shit up ages ago.  Everyone should!

In summary, the best approach — inherent difficulty notwithstanding! — is to keep everything in your diet, but learn how to control it.  It’s absolutely easier said than done, but it’s the only way.  Staying away from some foods entirely will only make your cravings for those foods harder and harder to resist until you eventually cave massively and end up hating yourself for the binge you go on.  It’s the oldest cliché in the weight-loss book, but it is a lifestyle change, and that means… CHANGING YOUR LIFESTYLE.

Meal planning and preparation solved almost all of that problem for me, and it’s why I can feel comfortable having a pint of Häagen-Dazs in my freezer right now.  I bought it two days ago and had actually forgotten it was there until I opened my freezer door this morning while putting my lunch together and saw it.  At this time last year, it would have been impossible for both of us to be in the same living quarters without me either constantly thinking about it or devouring the whole tub in one sitting.  This pint is for a special occasion, though, making it a low-risk temptation.  (Full disclosure:  There are 2 pints in there, but the second one will be for a later date when I feel like it’s appropriate.)

Conventional wisdom in weight loss is that you’re not supposed to reward yourself or celebrate milestones with food.  That makes perfect sense to me and I have adhered to it like a champ.  However, I’m making an exception for a few notable events coming up the week of January 17th:

  • The 17th is day 300 of my mission.  That’s a BFD, and it deserves recognition.
  • The 17th and 18th are also weigh-out dates for two of my DietBets that I have rather big numbers to pull in order to hit, but the fact that I was able to make it even a possibility that I could win after falling back around the holidays is reason enough to celebrate for me.
  • The 19th, I have a follow-up appointment with my doctor.  The last time I saw her was in mid-July, when she told me she bet she wouldn’t even recognize me the next time she saw me.  I had someone who recently came back to work from maternity leave actually not recognize me when we saw each other yesterday for the first time in 4 months, so I’m hoping my doctor’s prediction will be true.  And that will be after SIX months without seeing each other!
  • I’m closing in on losing 100 pounds, and if I keep up the pace, it’ll happen in time for that week.

 

So, yes.  Chocolate-peanut butter ice cream is in order that week.

I’m crazy enough to be looking forward to more sweet dreams tonight!

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DAY 262: Once an addict…

Some people, like me, have addictive personalities.  I’ve been this way ever since I was a small child who obsessively watched the same movie over and over again on repeat until I got sick of it.  I’ve done this throughout childhood, adolescence, and adulthood, with everything from movies to TV shows to songs to books and even to people.  It’s an odd pattern of novelty becoming comfortable, then too familiar, then boring and/or annoying, which triggers a need for something new… until the pattern itself gets annoying and I return to something old and known until I again wear out my interest in that and need to go back to the new again.  I don’t know what it is that makes me this way, but I know it’s always been how I am, and I therefore have no expectation of changing it.

Obviously, the worst place where this special little cycle of mine pops up is with food.  Remember Oreo Cakesters?  You don’t?  Well, you must have been sleeping during that period where they existed, and I ate them all before you had a chance to try them.  (They have since mercifully been discontinued.)  I also had a Papa John’s phase, a fried chicken phase, even a freaking Hamburger Helper phase, just to name a few.  These were all bad food-addiction/compulsion-fueled habits I had before I had the thing that changed it all:  a routine.

Now that I have a framework within which to conduct my daily life, everything else is so much easier.  I’ve learned to adapt my addictive personality to a healthy way of life, which means preparation, preparation, preparation.  I’ve also learned that you can apply a potentially dangerous pattern to a positive endeavor by simply replacing the addiction.  (Simple in concept, of course.  It’s certainly a challenge in practice!)  I’m no longer obsessed with filling my belly; I’m obsessed with shrinking it.  I’m addicted to exercise.

Yesterday was the first time I’ve attempted my (formerly) usual elliptical run since before I got sick, which was well before Thanksgiving.  I’m still not entirely recovered, and my body is not keeping that a secret; I was coughing and my nose was running from just a couple of minutes in.  In the end, I was only able to do one mile of my usual 3+, but I’m happy to report that my speed is still intact (under 12 minutes!), and DAMN, it felt good to sweat from something besides a fever!

I’ve amped up the fitness addiction by signing up for more Diet Bets.  As of yesterday, I am now committed and paid into a total of FIVE (one of which I’m hosting — join me!) between now and mid-February.  I’m still trying to recover the lost ground in my Transformer, and it doesn’t look like I’ll quite get there in time for the round 4 weigh-in a week from now, but I WILL win the game.  I’ve also set a pretty ambitious goal to hit for the end of the year.  I won’t be crushed if I don’t hit it, but I WILL totally redeem myself — and be a total fucking champion — if I do.

Finally, I set up another follow-up appointment with my fabulous doctor for January 19th, 6 months after my last visit with her.  I can’t wait to hear what she’ll have to say at that visit!  It gives me extra motivation to reach my goals.

Through replacing the addiction, I’ve become so singularly focused on achieving my fitness goals that I’ve gone back to not even caring about my old trigger foods.  Those plates of temptation are just masses of needless calories that will sabotage my plans and make me mad at myself.  Why go down a path of destruction?  I’ll pass.  Gym, please.

Sorry, Christmas cookies.  Maybe next year!

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DAY 119: Drum roll, please…

The lab work is back.  I just got off the phone with my doctor, who read me the results.  Buckle up!

Total cholesterol:  dropped 29 points and into the goal range!
–>HDL (good cholesterol):  was in healthy range before, but could have been better — up 2 points
–>LDL (bad cholesterol):  dropped 17 points and below the goal!

Total triglycerides:  dropped 71 points and WAY below the goal!
–>A1C:  dropped 0.4 and below the target!
–>Fasting sugar:  dropped 23 points and below the target!

TL;DR version:  All the numbers went significantly the right way, and I am no longer anywhere near pre-diabetes.

I think I just got sustenance from that phone call.  Vegetarian week be damned.

**happy dance**

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DAY 115: Doctor! Doctor! Give me the news!

I’m not even sorry for getting that song in your head.

At the end of March, I went for my first doctor’s appointment in about 12 years.  I had already dropped about 15 pounds from my all-time heaviest weight in January, but this was obviously a drop in the bucket.  I had put off visiting a GP for so long because of the overwhelming embarrassment and shame I felt at going in there and having my weight read, not to mention what other bad news may have been revealed.  I was finally in the right mindset to go by then, though, and so my outward adult dragged my inner child in for a long-overdue check-up.

I spent the appointment fighting back tears while complaining of incredible stress, nerves, anxiety, fear, and sense of worthlessness.  I expressed to the doctor that I knew my weight was the main source of all of these things, even if there were additional external contributors.  She listened to everything I said, spoke with me as if she had all the time in the world, and provided support instead of lectures.  Even though I still had the expected sense of shame for being my size, it felt good to actually unload all of that on someone who didn’t have an emotional stake in it (and therefore wouldn’t tell me things weren’t that bad), but who could still be sympathetic and easy to talk to.  After the appointment, my doctor ordered a full blood panel for me.  Not surprisingly, my numbers could have been better.  My sugars were at pre-diabetic levels and my bad cholesterol was a little elevated.  Immediately after sharing this information with me, my doctor suggested I work on my weight as we had discussed, and come back and see her in July.

This morning was the follow-up appointment.  I have never, ever, ever, ever, in my entire life, smiled so much in a doctor’s office.  That includes when I was little and used to get pretzel rods and lollipops for getting those shots I was never afraid of.

First, the nurse took me back to take my blood pressure.  Then, it was scale time.  I guess she was using my previous weight as a starting point, because she moved the 50-pound weight into a category I haven’t been in in a while.  I almost told her that was too high, but figured it would be more fun to let her discover that on her own.  (I’m a smug little thing sometimes.)  Once the nurse notated my weight, we went back over to the exam table and she entered it into the computer, where she kind of froze in place.

“When you were here last time, we had you weighed in at XXX — is that RIGHT?!” she asked.

“Yup.” I said.

“GO ‘HEAD!” she exclaimed.  She continued about how hard I must be working, that I was doing great, and keep up the good work.  That was pretty cool.

Then, I was in the exam room alone and waiting for the doctor.  Usually, I check my phone or read something while I’m waiting around, but this time, I just kept staring at things around the room.  My hands.  The extra expanse of lap I could see on the exam table compared to the last time I was there.  The scale weights, which the nurse had left in place, reflecting my weight loss over the last 3.5 months.  My reflection in the metal paper towel holder.

When my doctor came in, she greeted me, asked how I was doing, and whether I was experiencing any new pain since our last visit — she was in the process of pulling up my file on the computer screen as I answered her questions.  Suddenly, she furrowed her brow and stared very seriously at the computer screen.  Then, she murmured, “Wait…” and inched her face closer to the screen.  I was actually worried, and said, “Oh no, what’s wrong?!”  The doctor’s face immediately broke into a huge grin as she looked at me and asked, “Have you lost fifty-one pounds since your first visit?!”

The woman did not stop smiling the rest of the time she was in the room.  Before she’d come in to see me, the nurse had told her I’d lost weight, and she was expecting it to be 10, maybe 15 pounds.  She kept repeating how proud she was of me, how impressed she was, how I had made her day, how I was doing this the right way.  She wanted to know what I was doing, if everything felt right while I was moving, what I was eating, how often I was working out, if all of the weight loss was intentional, how my anxiety and stress were, and how I felt overall.  She kept nodding and smiling throughout the conversation.  She asked what my goal weight was and approved of it.  When we came to the point of the conversation about the purpose of this doctor’s visit, and she realized it was for follow-up blood work, she scoffed out loud and said, “Well, you’re not gonna be pre-diabetic now.”  She said we could skip the blood draw unless I wanted to do it, and I said I actually did want to see the change in numbers, and she was even excited about THAT.  At some point, she mentioned that their office is going to move to a big building where they’ll have a training center, a demonstration kitchen, seminars, support groups, etc., and said she would want to bring me around as show and tell for all her patients who insist they’re doing everything they can to lose weight, but she knows they’re not because “the numbers don’t lie.”  She high-fived me early in the visit and hugged me at the end.  It was like getting a report card full of As and being so excited to go home and hang it on the fridge tattoo it on my forehead.  She wants to see me again in 6 months to see how I’m progressing.  As soon as she finished saying that, she added in through her plastered-on smile, “I probably won’t even recognize you by then!”

The nurse who first escorted me to the exam room came back after the doctor left to do my blood work.  I’ll have the results in 2-3 days.  Even if the numbers aren’t in normal ranges or better, I will still be flying high from how fantastically that appointment went.  I’ve had a spring in my step all day.

Guys, I know that a lot of the time, my posts sound really confident, positive, and dangerously close to obnoxious with self-congratulation.  I’m sure it gets irritating, so I feel the need to explain that there’s a reason I let myself go on like that, and it’s beyond the simple “because it’s how I feel.”  It’s because I haven’t always felt this way, and as I continue along my mission, the positive emotions may stop or become harder to reach.  I’m allowing myself to talk to death about how accomplished and successful I feel for that girl in the doctor’s exam room 3½ months ago whose self-doubt and self-abandonment landed her there in the first place.  I’m also doing it for the girl 3½ months from now whose weight is taking longer to come off and who is tired of working so hard all the time.  I have to honor the past version of myself to keep me going in the present, and I have to bank my triumphs in the present to keep me going in the future.

Thanks for letting me do that.