Weighty Matters

Just another WordPress.com site

Holiday Week Eating

Good morning, everyone. It’s the morning after Christmas and I’m at my brother and sister-in-law’s home in the Northeast. Spare at least a slightly sympathetic thought for me with my Keys-acclimated blood. It’s 28 degrees Fahrenheit outside right now which is, of course, significantly colder than I’m used to! Thankfully I can bundle up.

I’m having a wonderful week with family and friends. We had a lovely Christmas, although it was not without drama. My younger nephew was only going to be with us for 30 hours, due to his work schedule. His missed his flight up on Tuesday and we scrambled to get him on another flight. Successful, we thought the drama was over. After a great holiday morning, including a delicious early lunch, we took him back to the airport for his return flight. Here’s a hint: If you miss your flight on U.S. Air, they automatically cancel your return flight and don’t tell you. No email. No phone call. He found out when he arrived at the airport and tried to check in. We got him on another flight this morning but, oh, the stress. On the bright side, we had him another night.

I’ve already seen some other family and friends. Today I’m meeting Chrissy (She comments here.) for lunch. Tomorrow, more friends and family. This is how I do Christmas and I couldn’t be happier.

I’m well aware that I’m out of my normal routine, but I’m not stressing about it. I’m not hitting my 10,000 steps a day, but I am getting in some physical activity by walking Aki a couple of times a day. I’m not strictly adhering to low carbs, but I’m not horribly overdoing them either, nor am I overeating. I feel very balanced in body and mind.

In the past, I treated holidays as license to indulge in an eating free-for-all. If anyone disapproved or worried about what and how much I consumed, they kept it to themselves rather than critique on the holidays. Some would call this enabling but it was never anyone else’s responsibility to monitor my eating. It was all up to me. I can remember that I relished the holidays because I felt like I could “eat like a normal person”. To me, this meant eating what I wanted when I wanted without getting hassled for it, or hassling myself. That shows how eating habits have always been a source of great stress and emotional upheaval. It also demonstrates that my concept of “normal” was greatly skewed.

Now my viewpoint is much healthier. It means I can enjoy delicious food in appropriate-for-me quantities. Food is not inherently harmful unless we overindulge. The same can be said of alcohol. Hoovering up a dozen cookies would be a bad thing. Enjoying one or two over tea and conversation is okay.

I like this approach and attitude. It feels healthier, for one thing. For another, it continues to form a good foundation for the future. Managing holiday week eating in a healthy, positive manner is a great indication how far I’ve come and increases my confidence going forward.

2 Comments »

Merry Christmas

I’m in the Northeast. The weather tonight is in the chilly 20s but I’m warm in the love of my family. Instead of walking Nat and Pyxi in the balmy breezes of the Keys, I bundle up in coat and gloves, accompanied by my niece-dog Aki.

The stockings are hung by the chimney with care. Even though it’s past midnight, we’re going to bed so we can wake up for our traditional Christmas morning.

Thinking of you, in your homes around the country and, in some cases, around the world. Whether you celebrate or not, may the day be merry and bright.

Thank you for the present of your presence.

2 Comments »

Portion Out-of-Control

Recently, I stayed overnight at a nice hotel and the stay included a voucher for breakfast. When I went in, the hostess informed me that they weren’t doing the buffet that day but I could order anything from the menu except steak and eggs. No worries. For me, steak is lunch or dinner anyway.

I looked at the menu. Three egg omelet? Not unless I’m sharing with someone else. I wanted an egg, maybe a couple of sausage links and some fruit. To order that a la carte totaled more than three bucks more than if I ordered the two egg plate. Yes, I know I was there on a voucher but I figured that if I ordered sausage links and fruit a la carte, due to the price I could expect more than I could eat, right?

The “complete” meal offered two eggs, bacon or sausage, and then a choice of either breakfast potato or cut fruit and toast. I asked for scrambled eggs, sausage, and the cut fruit/toast option. Here’s what was served to me:

breakfast

Just look at that pile of food! So much for the either/or, and the smaller portions, they served me everything and then some.

If those equated two scrambled eggs, the chickens must have laid ostrich-sized varieties. I think the potato portion easily equaled an entire spud. There were four sausage links, a sizeable bowl of fruit and two slices of toast. I could only surmise that if the restaurant feels this was a one-person portion size, they must be accustomed to feeding pro football players.

I picked at what I wanted, skipping the potatoes entirely. When I was done, I’d still eaten less than half of the eggs, a single sausage link, less than a slice of toast and a couple of cubes of fruit. This caused concern in the hostess and waitress. “Is everything okay with your meal, ma’am,” each of them asked, separately of one another. I assured them that it was but just that there had been a lot of food.

Sort of got the feeling that not too many guests thought they were served too much. Make that pro football players, super heavyweight weight lifters and, perhaps, Sumo wrestlers. The waitress came over a second time, and actually said, “But you ate nothing!” Honestly, friends, the amount of food that remained on my plate would have easily satisfied a full grown man. A really hungry, full grown man.

I’m a little horrified that before my bariatric surgery I might have chowed down, plowed through, and eaten almost everything, regardless of the gargantuan amounts.

It was just more evidence that the eating habits in this country are out of control, including our “normal” portion sizes. If we grow up thinking that this much food is okay, not to mention necessary, it’s no wonder that we’re seeing an increase of obesity in all ages of our population, including kids. Clearly for most of my life my eyes were always bigger than my stomach and I forced my stomach to keep up. Now that I’ve had the vertical sleeve gastrectomy, my stomach’s in charge and leading the way to retraining my eyes. For example, the other night when my friend and I had dinner, instead of going out to a restaurant, we went to Whole Foods and selected what we wanted from their hot food and salad bars. Instead of loading up my containers, I took a slice of turkey, a dab of mashed sweet potatoes, and a half spoonful of the shredded Brussels sprouts. I had all that I needed nutritionally and stayed well within my food plan guidelines.

I controlled my portions instead of letting them get out-of-control.

Yesterday, a friend and I went to a lovely tea house for a traditional “tea” meal. I have to say that this was a superior treat since both of us love drinking tea and also love the whole ceremony of a high tea. This place also had the perfect approach, probably without realizing it, for someone like me who has a surgically altered stomach. It was a multiple course meal, beginning with a plate of tea sandwiches, followed by a scone. A plate of dessert bites came next and the final item was either a sorbet or a gelato. They also had about 100 different teas from which to choose and I had my own pot of a lovely blend.

No lie, that was still a lot of food, but here was the beauty of it. Every individual item was a very small bite. I got to taste everything that I liked without overeating. Perfect! I also handed off things I know I don’t like — such as the cucumber sandwich, stuffed mushroom, and apricot tart — to my friend. All of the tea that I drank also filled my stomach, so I thankfully couldn’t finish the dessert plate. No worries. Whatever we didn’t want to eat then, the waitress offered to box up for us to take home. This meant that late last night, I had a small cookie and a tiny lemon bar as a treat.

The tea house itself was beautiful and decorated for the holidays, including this cool upside down tree.

upsidedowntree

I wish more and more places would offer “small bite”, or even tapas sections on their menus. If I ever had a restaurant, that’s what I would do. I bet it would be popular with not only the weight loss surgery crowd but also with other people striving to practice better portion control.

4 Comments »

Life Changes

I had dinner last night with a dear, long time friend whom I haven’t seen since June. My body’s changed a lot since then.

Over our meal, she asked me about how my life has changed because of my weight loss surgery and transformation so far. It’s one thing for me to say how much better I feel physically and emotionally. I can talk about the increased physical ease and the reduction in aches, pains, exhausting effort.

But last night, I was struck by something even deeper when talking about the amazing positive changes. I asked her to imagine what it would be like to always, almost constantly, be hyper-aware of body size. To think about having to make continual assessments about almost everything. Would a chair hold my weight? Would the car I rented have a seat belt long enough to go around me if I was wearing a coat or jacket? Could I fit in the space between two tables in a restaurant? Would I be able to keep up with my friends when we went somewhere? If I fell and hurt myself at home, could I get up? Would I fit in a chair? How long would it be before my right knee gave ou completely? What did people think when they saw me struggle to go up stairs? Think about trying to disguise the effects of simple exertion on my breathing.

Think about constantly having your brain and feelings dealing with such a barrage of questions and assessments for decades.

Then think about not experiencing any of that any more, ever again.

The reduction of stress and pressure has been enormous, like I was caught between a boulder and a granite shelf and then suddenly freed.

In addition to my body feeling better, my mind is just so much more relaxed and at ease. It’s amazing.

Over the last two years at work, I feel like I’ve stepped up my game. I was never a slacker and always was a productive, efficient, even dynamic asset. (That’s not bragging. My boss would say the same.) However, I can look back and see where I’ve grown, matured, and developed into even more of a leader. You’ve heard the expression about all ships rise with the tide? There were also other things at play, but when the opportunities to grow and develop opened up, I was better able to step up and grow with them. I don’t know if this would have happened if I’d still had all of the other horrible mind clutter getting in my way.

Stress is a killer. It creates tension, contributes to poor health, triggers adverse body chemical reactions. The reduction of all of that stressful thinking, has lightened my spirit like losing pounds has lightened my body.

Change is good. The life changes I’ve experienced and continue to see are great.

2 Comments »

Getting Over the Sulk

Yes, I’ve been sulking ever since last Friday’s appointment with my weight loss surgeon. I’m a grown up, even if sometimes I give into slightly less mature behavior like sulking. At least today I’m willing to own it. I’m also setting a time limit on it. A week is more than long enough. So, the sulk indulgence ends as of now.

I have no further time nor energy to give to it. I have places to go, holidays to enjoy, workouts to continue and weight to lose. Is it possible to shift one’s attitude this quickly? Yes. It’s a matter of mind over emotions. I’m not going to invalidate the way that I’ve been feeling. As far as I’m concerned, I had a right to it, but I also know when I’m on the verge of tipping over into useless, even damaging, wallowing. When I rebel by eating inappropriately, I’m hurting myself. That is unacceptable. Not only will it hurt me in my weight loss efforts and affect my body, but I’ll begin to emotionally feel lousy. So, it’s time to shake it off and move forward.

I’m really looking forward to the holiday week in which I plan to see many family members and friends. Most of the planned get-togethers will include meals. For once, I’m not looking at these events as license to eat anything, everything, and as much as I want. I’m looking forward to the social aspects and the company and to eating good tasting food in appropriate amounts and balance. Food isn’t the focus. That’s what I need to remember.

For a full week I’ll be out of my regular routine. I’m a little concerned about keeping up with my 10,000 steps a day since getting around to see everyone will involve driving a lot. However, I can and will suggest some walks and will definitely have opportunities to pop in one of my workout DVDs. I think I’ll look forward to the challenge of keeping up with exercise along with everything else. That too I can embrace and enjoy figuring out a strategy.

I’m over the sulk. There are good times with people I love in my immediate future.

I may not blog as regularly, but I promise to do so as often as I can. In the meantime, I want you all to know that I wish you all the very best this holiday season. May love, joy, and peace be yours. Thank you for being part of my blog, my journey, and my life.

Holiday Card 2013

6 Comments »

Losing My Doctor

No, I’m not firing the bariatric surgeon who suggested I cut my calories back by 25% to get me through this weight loss plateau. I’m talking about my primary care physician. She’s leaving the area so today was my last appointment with her.

I’m so bummed. I’ve loved her being my doctor and adore her as a person. She’s the first primary care doctor with whom I’ve ever felt truly comfortable, no matter where I was with my weight. Dr. S. always has a caring, compassionate, willing to listen and spend time attitude. She could be up front with me about my super obesity without being judgmental and harsh. Never once did she make me feel like a useless idiot for not losing weight. She also was never one to jump to medications without discussing other treatment possibilities. I hate just throwing drugs at a problem. Bonus about Dr. S. is that she’d do my pap tests which meant I didn’t have to consult a separate gynecologist. This was a big convenience here in the Florida Keys. The closest gynecologists are an hour away from where I live.

Two plus years ago, when I came to her and asked her to help me with my plan to have bariatric surgery, she recommended the surgeon that I eventually chose. She’d worked with him previously with some of her other patients. (I might be disagreeing with him now but he really was a great surgeon for me.) We talked over so many things after my first consult with him. She helped me get set up with all of the evaluations that I needed. She offered me caring and support the whole way. Every time I’ve seen her since, she’s continued to be loving, compassionate and supportive. I was blessed to have her in my corner as my primary care doctor through the weight loss surgery journey.

I care about Dr. S. as a person. I’m really happy for her that she’s making this move and will live close to her daughter, granddaughters, and other family members. I’m just sad for me because I’ll have to find another primary care physician. For right now, I’m transferring my records and care over to the doctor with whom she shares an office. I saw him twice a couple of years ago. He’s primarily a cardiologist, so I went to him when I needed the cardiac evaluation prior to my weight loss surgery.

Down here specialists also frequently do primary care. It’s not like we’re a hugely populated metropolis with plenty of patients around for specialists. Since I had my annual physical today, I don’t actually need to see the new doctor until a year from now, unless I get sick and need something more current. I’m also not up for any major diagnostic tests. So all should be good. I’m sure that the new doctor and I will do fine together, particularly if I only need to see him once a year.

Other than the sadness over Dr. S. leaving, my appointment and physical went well. My blood labs are terrific! I have been off my blood sugar and high cholesterol medications since my weight loss surgery. I’ve now also been off the two meds I took for my high blood pressure for a year. My blood pressure was actually a little on the low side this morning. My fasting glucose was 80 and hemoglobin A1C level was also in the normal range so I no longer show any indication of Type 2 diabetes. The different cholesterol and triglyceride numbers are in the desirable ranges too. Yes, the co-morbidities continue to be resolved thanks to the weight loss and improved fitness. Booyah to the nth degree!

Dr. S. and I discussed the surgeon’s calorie-cutting suggestion. I received the last bit of agreement that I needed. The surgeon is officially overruled. I will keep on doing what I’m doing and have faith that I will eventually bust through the plateau. I might get frustrated some times, but I just need to keep going and believe that the weight will come off. After the holidays, I might start off the new year with another detox, but I actually enjoy living on smoothies for a few days. It isn’t a big deal.

Being healthy. Making good choices. Pursuing my plans. These things add up to the true big deal. Maybe the next time I see Dr. S, and I hope that I do when she visits here sometime in the future, I’ll be at my goal weight! In the meantime, I pray that the move is all that she wants it to be and I wish her nothing but the absolute best on this next phase of her life’s journey. Her new patients in her new town will be so lucky!

5 Comments »

Adding Qualifiers

In response to yesterday’s post, Lani wrote a very thoughtful comment that asked me to consider this:
If you never lose another pound for the rest of your life, how bad would that be, really? You’re active. You’re beautiful (you were also beautiful before, and you are still now, just beautiful.) You’re fun and smart and amazing.

She points out that I’m healthy, I’m living a great life. So, really, how bad would it be?

I don’t know. In the grand scheme of things, I am so, so SO much better than I was. I just know that it feels like it isn’t enough. It’s like I have to add qualifiers. In other words, I don’t feel comfortable calling myself healthy, but I am healthier. I’m not in great shape yet, but my fitness level is greatly improved. So, yes, if this was the end, I would be in a better, healthier, less obese state than I was and that would not be the worst thing.

But is isn’t enough. I don’t want to stop yet. Lani isn’t suggesting that I do, but offered the perspective that perhaps I should give myself a break for a little while, enjoy where I am while I maintain it, and breathe. Wisdom and compassion are in this suggestion, along with her belief that I’ll eventually get through the plateau. I wish I could take her suggestion, but I just don’t think I’m capable of doing so right now. Maybe for the next two weeks as I get through the holidays, but then it feels like something inside won’t let me stop hammering at the plateau until I finally break through.

At more than 200 pounds, I’m still obese. I’m okay with my goal weight being 170, which at least gets me to the merely “overweight” category according to the BMI charts. I don’t feel driven to go down to the 160s, 150s or 140s. However, if I don’t get to goal weight, I will feel that I’ve left part of this undone. I won’t go so far as saying I will have failed. That isn’t true. Lani’s right. I’ve made myself healthier and more sane so to that extent I have won. It’s just that if I stop and don’t get into One-derland and then my goal, it will feel like I won second or third place instead of achieving the top prize.

I’ve come a long way in dealing with the emotional issues too, but I’m not at the point where I’m completely serene. I realize that I cannot let go of the fear that this success is only temporary. I am afraid that if I do not keep pushing, I will lose the motivation — that switch will flip to Off — and I will backslide. The possibility of backsliding out of control and regaining the weight terrifies me. Been there, done that, more times than I can remember.

The best deal that I can make for myself is to take it easy for a couple of weeks and not stress about it so much. While it might not be acceptable to me to never lose another pound, I can give myself permission to not lose anything for the next week or two. That’s as much of a breather as I can handle, but it should be enough.

4 Comments »

Validation & Encouragement

I’ve talked about the whole calorie reduction suggestion not only here but also to good friends. To a person, everyone has agreed with me that cutting my calorie intake by 25%, which would put me in the 600 to 750 calorie range a day, isn’t a good move. That’s putting it mildly. Some of the reactions were quite a bit stronger.

I know in my gut that I’m right to reject the suggestion and, at the same time, want to share that having that instinct validated by you and my friends really helped my emotional state. As upset as I was, these could have been really bad food and eating days. Instead, talking it out, getting positive feedback, validation and encouragement, helped me balance myself.

I’ve been pretty even keeled, eating balanced, planned meals. Exercise-wise, I got in my full exertion and effort both yesterday and today. All in all, I feel really good.

I’m going to take how I feel today and build on it tomorrow, then the day after and the day after. When one has such tremendous, long term, deep issues with food and eating, enjoying days when these things aren’t issues are moments to mark, to treasure, to use as stepping stones for further progress.

One foot in front of the other. One day at a time.

2 Comments »

Temporary “Screw It” Day

I want to thank you all again for your thoughtful suggestions, comments and support. I value the input you provided and have a plan.

Have to admit that the emotional impact of the doctor’s appointment and “cut more calories” suggestion stayed with me. Okay, it’s still with me today. Yesterday, I decided to give myself permission to say, “Screw it” to my food plan. No, not long term. I do not want to give up my healthier lifestyle. I just needed a day to not worry about eating any carbohydrates, enjoying a glass of wine, or eating a freaking cookie.

Last night was the holiday boat parade in my city. This sails right past my home and I usually have friends over. This year, I invited some close friends for dinner. I’ve said before that I still enjoy cooking and no cooking makes me happier than Italian. The smell of a good tomato sauce simmering on the stove delights my senses and makes my mouth water. I love mixing up a batch of meatballs to go with the sauce. Knowing that the friends coming over particularly like my Italian meals simply made me smile as I chopped, sautéed, seasoned, tasted and put everything together. The end result — a big bowl of meatballs, sausage and penne in sauce with crusty Italian bread and salad on the side. For dessert a plate of cookies and biscotti.

I’m sure between the preparation and the actual meal, I ate more than I would normally. I didn’t gorge on pasta but had some penne and some bread and a couple of cookies. All told, I ate less than half what my friends consumed. Strike me down, diet gods, I also had two small glasses of red wine.

We ate on my porch in the glow of my twinkling holiday lights. My friends savored the food I’d cooked. I experienced the time-honored joy of feeding people I care about. One couple’s three year old son entertained us with his energy and adorable “Wows!” whenever another brightly lit boat passed. It was a beautiful, fun, relaxing evening and I enjoyed every minute of it. Of course I made a huge amount of food so I packed up two generous “to go” containers and sent most of the leftovers home with my guests. I kept some meatballs and a little bit of penne for myself. Today I don’t even care so much about the pasta but I’ll enjoy the meat and sauce. I can always run up to Publix and get a spaghetti squash as a substitute.

With all of the cooking yesterday, I didn’t get in my full 10,000 steps. This morning I woke up to a beautiful day and immediately went out for an hour-plus bike ride, followed by a 15 minute dog walk. By the end of the day I’m sure I’ll exceed 10,000 steps. I will not overindulge in a pity party but will keep myself in good check with my eating.

I’m not going to cut my calories to 600 per day. There is not part of me that thinks doing so is a healthy choice. We’re heading into the holidays. I will be out of my normal routine for several days. While I would love to lose more weight during the rest of the month, I’m setting very simple goals: Maintain my current weight and keep exercising. When all is said and done, I’m going to be fine. No, I’m going to be better than fine.

Whether it takes me six months, nine months, or all of 2014, I am going to reach my goal weight at some point in 2014. On that I would never say screw it. I am absolutely committed to this goal and I will make it.

The best overall entry, it copied the leg lamp from a popular holiday movie.

The best overall entry, it copied the leg lamp from a popular holiday movie.

4 Comments »

Emotional and Physical Revolt

I had my every-three-months follow up appointment with my weight loss surgeon. This is the worst period of weight loss I’ve experienced since my surgery almost two years ago. I had ups and downs and the last couple of weeks were better, beginning with the post-Thanksgiving detox. However, overall, the total number of pounds was somewhere between few and pitiful.

Frankly, I’m puzzled. I believe that I’m doing good with my food plan. For sure I’ve stepped up my exercise. Simple math of calories in and calories burned should have added up to more significant weight loss, but my body apparently didn’t get that memo.

I went down the list of info with my doctor, explaining what I eat each day and how much physical activity I do. I don’t know what I was expecting in terms of advice, but I know I wasn’t anticipating that his suggestion would be that I cut out more calories. Seriously? I eat between 800 and 1000 calories a day and between my regular basal metabolism rate I burn more than 2000 calories daily. Honestly, I cannot fathom how in hell I’m going to eat less, take in fewer calories. The doctor acknowledged that I’m taking in quality with high protein and low carb. However, he feels that perhaps my body’s metabolism is lower/slower than normal. He went into a lengthier explanation about how cells of the body, etc. but I had a little trouble following the explanation and difficulty focusing on what he said. I do know that in his mind, reducing volume — cutting by a quarter in his words — is the strategy I should try.

Friends, color me shocked and shade that with some accents of dismayed and confused. Emotionally, I’m in full revolt tonight. I’m pissed off, even though I’m not sure at what or at who my anger is directed. It’s unfair of me, I guess, to be ticked off at my surgeon. I guess I wanted some magic solution that would wipe out the slow progress and put me back on the path of rapid loss. It isn’t his fault that I had unrealistic expectations. He told me what he medically believes. It just didn’t jive with what I wanted to hear.

Pointless as this is, I think I’m angry at my body, my stubborn, holding-onto-fat, cells and my underperforming, uncooperative metabolism. I resisted whining in the doctor’s office but, believe me, I’m whining to myself here at home and mentally stamping my feet in tantrum mode. I don’t want my metabolism to be slow. I want it to rev up and melt the freaking remaining pounds off of me asap.

I can’t let this derail me. I have to reconnect with my own focus and remember the promise to “go to any lengths to get it”. If that means cutting back on the already small portions I eat and compensating with even more water if I’m still hungry, then that’s what I’ll do. Or at least I’ll try my very best to do so and remember to have convenient small snacks available if all of the exercise triggers the need to eat. All that I can do is my best effort and hope that it’s enough to keep me going. I hold onto the thought that even though I didn’t lose the amount of pounds I hoped, at least I lost and didn’t gain. I know I’ve reduced my body size and my percentage of body fat. I am still moving in the right direction, even if I’m moving slowly.

To share a quick funny, in our appointment the doctor cautioned me about the approaching holidays. “It will be tough, he reminded me. “Lots of food around all of the time.”

“Dr., food is all around me all of the time every day,” I replied. “It has to be my choice to not eat it.”

On a brighter note, I ran into Kohl’s while I was “off the rock”. I needed new black pants that go all of the way to the tops of my feet versus stopping at capri or cropped pant length. Before I could get to the Women’s Department with its more familiar clothing sizes, geared toward heavier women, I had to walk right by the Misses Department. I get really confused about all of the different departments in a particular store, but I decided to brave the Misses section and see if I could figure it out. Yes, I know, it sounds on the surface like I’m pitiful. Imagine a grown woman of almost 56 getting confused and intimidated by store clothing departments. Still, if you don’t know and have never shopped them, you really need time or help to navigate and find the clothing you want.

The good news is that I went into the Misses section and found the Simply Vera Wang line. “Oh what the hell,” I thought. I grabbed a gray sweater that I thought was pretty and went to a dressing room to try it on. I’m at a weird place with clothing sizes. In some I’m still an XL, as opposed to a 1X, 2X, 3X or 4X. In other styles or cuts, I’m a L with tops. I can wear a 16 W pant, but still need a straight 18. Anyway, I found a couple cute sweaters from Vera Wang in XL. They look terrific with the new pants I purchased. I’m almost as pleased about my navigation of the store as I am about the clothes themselves. It’s a great advancement for me to take this on, silly as that sounds. I’m so glad I was successful.

9 Comments »