If You Can’t Hear Anything Nice, Maybe You’re Not Really Listening: Weight Loss & Criticism??

We’ve all been told at one time or another that if we can’t say anything nice, we shouldn’t say anything at all.  I think that’s good advice if all you have to say is something mean or negative. Most of us have also heard the expression “think before you speak,” but we rarely hear any good advice about listening. Maybe that’s because we’re not listening?

In all seriousness, we not only hear what we want to hear, what we hear is usually run through a filter of what we were expecting to hear.  In other words, if we are expecting negativity, that’s what we’re going to hear.  Although it sounds complicated, it really isn’t. Example: my mom has historically been my biggest critic.  All through my childhood, it always seemed like I wasn’t smart enough, ambitious enough and I definitely  wasn’t thin enough! She would be the one to point out that my clothes or makeup or hair weren’t very flattering or that I’d gained more weight.  There was usually very little that was complimentary from her unless it was that ‘I didn’t screw up as big as she thought I would!’ As a result, my knee-jerk reaction to anything she says is to ‘hit back’ since I am expecting to get ‘hit,’ so to speak. Secondly, I’m not really listening to what she’s saying because I’m already halfway to some mean-spirited retort!

The problems with this all-too-common scenario are obvious: forget about ‘listening with an open mind’! How about starting with ‘listening while not in Attack Mode’?  It would be easy to blame my mom for always putting me on high alert: “if you weren’t always so critical of everything I did, then I wouldn’t be like this!” Maybe that worked when I was a kid, but I haven’t been a kid for a really long time now.  That means it’s all on me! (Yikes! Talk about the world going crazy!) All joking aside, as easy as it would be to lay all this at my mom’s door and just walk away from any responsibility for my responses, that’s the problem right there: they are my responses!

If we are going to hold others responsible for their words and behavior, then we need to do the same for ourselves! That means instead of jumping all over someone for what they just said, maybe we should listen to what they have to say before we attack them. This idea of Listening means we first need to listen with an open mind and then think about what they said before we respond. Remember that “think before you speak” I mentioned earlier? This saying always reminds me of another line from The Simpsons: Lisa wisely telling Homer “better to remain silent and be thought a fool than to open your mouth and remove all doubt,” to which Homer makes a typically foolish response.  Key point here: don’t be Homer!

Truthfully, my mom brings out the Homer in me. It’s partly because of a childhood full of criticism, disappointment and recrimination. After thousands of verbal slings and arrows, my automatic reflex is to return fire immediately after her opening volley, but that means I’m also automatically assuming that whatever she has to say is going to be another criticism, and that’s not always the case anymore. Sometimes she has a good idea or– gasp!— something nice to say about me, which means my mean or cold-hearted retort makes me small, petty or just plain stupid.  My automatic reflex may have been born out of a painful childhood, but now as an adult, I can choose either to fix that or let it continue.  That choice is not a childish defense mechanism: it is an actual choice I am making with a clear head. That means I am responsible for my responses and my behavior! Yikes! Yeah, that’s one of those Lisa & Homer moments! Who am I going to be today?

When it comes to our weight loss and exercise, most of us are in the same camp: all we seem to hear is criticism from our family and loved ones.  The ones who were always there to point out that Boston cream pie isn’t on your diet and that the sourdough garlic bread you had with lunch isn’t Paleo are the same ones who always make you feel like a failure with their criticism.  Your diet isn’t the right one; you aren’t exercising enough and obviously you must be doing something wrong because “you haven’t lost much weight in the last month, have you?” It’s easy to run all those statements through the filter of criticism and fire off a few return volleys back at them.  It’s easy to begin to feel like “everyone criticizes” and “no one has anything good to say about my weight loss.”  After that, it’s a short ride to feeling stressed and depressed and “I’m such a failure again!” We all know the danger that carries with it: emotional eating!

But before we open the bag of Flamin’ Hot Cheetos and go to town, let’s try using our Listening Mode instead of our reflex Attack Mode. Not everything everyone says to you is criticism.  Sometimes it’s just an observation or sometimes it’s a question. Sometimes there is a compliment involved, but until you listen with an open mind, you might never hear anything but criticism! Sometimes just keeping an open mind when one of your critics makes a comment is much harder than it looks. It means thinking about what they just said and staying silent until you can think of an appropriate response while your emotions are screaming at you to attack. Example: you tell a family member you want to try a three day water fast and her response is “you think you can do that?”  This is one of those phrases that is open to interpretation.  If it were a text, you’d hope there’d be an emoji attached to give you an idea of how they mean it: either a Scream face; eye-roll; mind blown; or at least an OMG! It can mean “wow! that’s extreme! do you think you can handle it?” or it can mean “yikes! is that healthy?” or it can mean “yeah, right! you won’t last three hours!” Most of us who feel we’ve been criticized to death go right for that last one! We don’t even consider there are other interpretations: “Obviously, my mom thinks I have no self-control!”

That’s where the pause, listen, interpret and thinking before we speak keep us from putting our foot in our mouth and hurting someone’s feelings when they only meant well.  When I started eating Paleo, my mom kept pushing other diets at me and encouraging me to eat differently. It was easy for me to ignore her suggestions because what I was hearing was “you don’t know what you’re doing again!” when now I realize it could have easily been “are you sure that’s healthy?” It seriously took a while for that to sink in because I was hearing it through the “criticism filter” instead of listening with an open mind. It’s ironic. I try to keep an open mind about just about everything else in my life: food, nutrition, exercise, pets, books, movies, etc! But when it comes to my mom, I just automatically assume she’s got something negative and critical to say.  That narrow-mindedness is all my own fault, since it’s a choice I made.  And it’s not a good choice, either!

We started out on our journey to improve our health and our lives, and most of us were laser focused on ourselves, but that laser focus can also lock us into seeing only what we are expecting to see and hear. Changing for the better means thinking about old things in new ways, and sometimes that means realizing that the person you always thought of as a critic might actually want to help you.  We can’t make those realizations without keeping an open mind and really listening to what they have to say.  Even Homer has a good day now and then!

Weight Loss & New Ideas: You Make The Call

Have you ever walked into a home or office where the air is stagnant and stuffy?  It’s one of the things that bothers me the most: it’s almost like I can smell the dust!  Nothing is moving; nothing is fresh and everything is stale.

The same thing happens to us when we get stuck in a rut.  We feel safe and we feel at home so we essentially stop there.  We cease forward progress and stop looking at anything that falls outside of that safe comfy rut. We begin to stagnate and stagnation is not a good thing!

It’s not that we want to be close-minded or stagnant: we’ve heard so many times“do what works for you!” That really is a good idea since so many of us bounce from one thing to another simply because it’s trending on Instagram.  If you’re constantly trying one thing or another, how do you know if something is working out for you? So we find the eating plan or work out plan that works for us and we stick to it like we’re victims of a Permanent Sticking Charm out of Harry Potter. “Sticking” to something that works is a good thing as long as it doesn’t keep us from discovering something else that might work better! 

I know people who glom onto whatever is new and trending.  They remind me of a starfish on a clam because they are just as hard to get off.  The problem with most of them is that they stay on it whether is works for them or not.  They tell themselves it “should” work for them since it’s the Idea of the Day and everyone they know on Facebook or Instagram is getting great results! That is, everyone but them.

As usual, the answer lies somewhere in the middle: we don’t need to be Permanently Sticking Starfish and we don’t need to be ping-ponging from one to another either.  We need to be open to new ideas and be sensible about it. I know: how much more common sense can it get?

But when it comes to weight loss especially, most of us are really not very ‘common sense’ oriented.  We want to have lost weight yesterday! It can’t come off fast enough! And it’s because our emotions are involved. Being emotional usually means we’re not being very sensible since our logic went out the window along with the bags of potato chips. So when someone suggests we only drink high protein smoothies because someone they know has a friend on Facebook who lost 40 lbs in three weeks doing that, the logical part of our brain says “hmmmm” while the emotional part of our brain shouts “go for it!” We start rationalizing how safe or effective this practice should be: it’s protein and it’s low sugar, low carb, low fat so it certainly sounds like it’s healthy. There’s lots of low carb veggies in it, so there should be plenty of vitamins. How bad can it be for me?

Then there’s the other end of the spectrum where we’re suspicious of everything that hasn’t been “proven” to our satisfaction. We examine everything like it’s evidence in a murder investigation: Clinical trials? Independent corroboration? Evidence of efficacy? Any outliers we need to know about? What’s the success/ failure rate?  And before we know it, the door of our mind has slammed shut on that idea! Granted, not every idea that comes down the highway is a good one– we all know there are some real losers out there! But until we keep an open mind long enough to gauge which camp this New Idea falls into, we can be shutting the door on something that could help us.

I see this so many times on My 600 lb Life. One of the key components to Dr. Nowzaradan’s program is psychotherapy and about half of his patients are very resistant to the idea.  They don’t see a connection between “talking about my emotions” or “talking about my past” and their eating.  There are many who refuse to go to therapy until the doctor makes it a mandatory part of the treatment: either they go to therapy or they leave the program. Even some who aren’t resistant don’t completely understand how much help it can be: “I already know I’m an emotional eater!”  It isn’t until they have started therapy that they realize its benefits. For those who are resistant or don’t see the connection, if it were up to them, that door would stay closed and in doing so, their weight loss struggle would continue to be much harder than it needed to be.

By keeping an open mind (and not being a ping-pong ball) we allow ourselves to move forward while keeping an eye on what’s worked in the past.  It’s hard, but we need to remove the emotions from the weight loss process.  I know from personal experience how difficult that is: the sense of urgency is almost overwhelming! But it’s that “hurry up” feeling that gets us into trouble by sending us from one practice to another as fast as we can bounce.  We need to turn off the emotions and turn on the logic: is it safe? is this practice something that is doable for you? Then you need to put a clock on it: how long do you plan to stick with it? and you need to set some parameters. If it’s weight loss, weigh yourself or take a photo or measurements.  If it’s a workout routine (lifting for example), how much can you lift now? You need to decide what your definition of success is. Many times people define ‘weight loss success’ as a lower number on the scale rather than just looking and feeling better and healthier. Many of my fitness friends have been confused by the fact that their clothes fit better or they’ve gotten into a smaller size but the number on the scale is only down a few digits. They’re not sure this new practice is a ‘success.’

You get to decide if it’s working for you or not. How many of us have struggled to keep our calories ‘super low’ so we can lose weight as fast as possible? Does it ‘work for us’? It depends on our definition of success: if losing weight really fast is worth being hungry all day, then yes, you can call it a success, but if your definition includes not starving all day, then it’s a big NO! Many of my fitness friends with the slimmer body or smaller jeans call their new practice a success even if it’s only ten pounds instead of the twenty they wanted. Apparently, it’s 10 lbs in all the right places! (I’m with them!)

I love a new idea as much as everyone else on Instagram but it comes down to how hard are you willing to work, how you measure success and what you deem is reasonable.  A new idea is only a good one if it meets your criteria. There are lots of weight loss gurus who tell us to remove all carbs or keep our calories under 1000 or to work out seven days a week or whatever the trending idea is in the media. Some of those practices may actually work for you as far as losing weight, but for me, if I am completely miserable or utterly exhausted, then it’s not a good idea for me. How thrilled can I be over my weight loss if I’m too worn out or too unhappy to enjoy it?

 

 

Laughter, Fear & Weight Loss: Taking a Stand

Humans are bit of a paradox: we like to think we stand out as individuals in a crowd, but at the same time, we don’t want to stand out too much. We don’t like to think we are just ordinary but then we don’t want to be “that weirdo” either.

This is especially true when it comes to our weight: being as plump or chubby as everyone else is okay, but being really big? Not okay.  This idea of being too far outside the norm becomes a real problem just at a time when we think we’d be getting over it. I’m talking about going to the gym.

We’ve either started losing weight or we’ve made the decision to be more active so we head to the gym, and once we’re there, we realize it’s full of athletic, toned sweaty people in tight fitting clothes who know what they are doing.  Our first thought: “holy sh**! what did I sign up for?” It’s bad enough not being familiar with the gym itself, where things are, and how to use the equipment, but we’re also aware that we look a lot different from everyone else.  Now when we fumble with the equipment or get lost trying to find the weight room, it’s obvious that we’re chubbos who’ve never been in a gym before! This is pretty much why Planet Fitness’s slogans are “No Gymtimidation” and “The Judgment Free Zone.” They’re marketing to all the chubby gym newbies who are scared of sticking out!  (Planet Fitness was the first gym I joined, although their motto had nothing to do with my reasons: they were cheap and they were close to my house.  The gym I belong to now (In-Shape) is also close, though twice as much but it’s got a pool. If Planet Fitness had had a pool, I would still be there!)

There’s really not much you can do about learning how to use the equipment and where things are in your gym except experience and asking for help when you need it. The more you are there, the more you do, the more at home it becomes.  In this respect, everyone at one time or another was new to your gym and was wandering through the locker room looking for the showers or the towel bin.  It’s that being so much bigger, so ‘out of shape,’ that makes us feel even more self-conscious. It feels like everyone is looking at us and laughing.

As I mentioned before, I had been a Planet Fitness member and had gotten relatively comfortable with the treadmill, but when my doctor and physical therapist recommended a pool for me, I moved to In-Shape (the therapist’s suggestion). So about the time I was feeling pretty comfortable with my old gym, I had to start all over with new one, and on top of that, I had to wear a swimsuit in a public area, where everyone could see me!

It’s bad enough feeling like an idiot trying to figure out where everything is in the gym and then feeling like a fat lazy blob when you walk in and now you’ve got to wear a swimsuit so all your chubby parts and muffin top are visible to anyone who walks by the big glass walls of the pool. Ugh! Talk about torture! Isn’t this one of the top five nightmares that terrify most people?

In all honesty, being unfamiliar with the equipment bothers me the most.  I’m afraid of breaking equipment or injuring myself because I am doing the move incorrectly. As for wearing a swimsuit in public or a tank top or shorts? Not a problem! I remember years ago, I went by a weight loss company (something like Jenny Craig or Weight Watchers) to check it out and the ‘counselor’ asked me if I wore shorts or tank tops in public. I remember telling her yes and being a little confused: “am I not supposed to wear them because of my weight?” She appeared equally confused because at the time I was easily about 375+ and apparently people “my weight” normally don’t wear revealing clothes in public out of fear of ridicule and embarrassment.

What this counselor didn’t know was that when I walked into her office sometime in the late 1990’s, I had already spent a lifetime being laughed at in public.  I went to a private grade school full of thin affluent white/ Anglo kids with ‘normal’ names like Jimmy, Molly, Kathy and Scott.  I, by contrast, was a poor overweight Mexican girl with a weird first name! In fact, outside of being overweight since grammar school, my name was the biggest target: Koren. (It really didn’t help that the teachers and administrators couldn’t spell or pronounce it either!)  Since childhood, I’ve been Karen, Koran, Korean, Korine and Koreen until the boys in the class finally settled on Korndog.  The teachers were completely aware of this appalling nickname bestowed upon me, but since it was the poor fat Mexican kid with the name no one could spell or pronounce– meh! whaddaya gonna do?

As I said, the teachers and administrators were completely unconcerned and neither my sister nor I mentioned this humiliation to my parents who would probably have raised a huge embarrassing stink with the principal (whose son was in my class and one of the offenders) so it went on for several years. My choices were either let the nickname bother me or go on with my life. In this day and age, this would be called bullying and harassment, neither of which would be tolerated at the school for fear of a lawsuit, but in the late 1970’s & early ’80’s, bullying and harassment were a part of every day life in grade school.  It’s just the way it was!

So when I walked into that weight loss center, I was pretty much over the whole ‘fear of being laughed at,’ at least for my weight. Being laughed at for doing something stupid was– and still is– a much bigger fear, and in these days of names like Jaeden, Brookline, Hadley and Genesis for little girls, having a different name at my age just puts me ahead of the curve!  The idea of changing what I wear so I won’t ‘look fat’ was a total non-starter.

All of us who are overweight know you can’t hide obesity.  Yes, you can wear clothes that minimize the pudgy parts and hold in that muffin top.  You can wear colors, patterns and designs that are more flattering and I think we should, because the better you feel about yourself,  the more confident you are.  Feeling bad about yourself because you are overweight is not a requirement for obesity or weight loss!

The problem is that’s what happens when you slink around the gym trying to be invisible!  When you try to hide how you look or that you’re uncomfortable in the weight room or you wear baggy t-shirts and shorts into the pool to hide your belly and thighs, you are shaming yourself.  You are telling everyone who sees you that you are not proud of yourself or that you are ashamed to be at the gym.  When I first started using the pool, the swimsuit I had was a tankini: shorts and a long tank-style top.  I had gotten it at Target in the plus size department and all they had were tankinis, so I had two of them.  Once those wore out, I went online and bought a regular two-piece with shorts and a bikini top– NOT a tankini!  Yes, they hide the muffin top and some of the pudgy thighs but overall, they get in the way of the workout! So when I walk out of the locker room headed to the pool area, going right by the weights and the sauna and the steam room and tanning beds, everyone can see me in my two piece: there’s the muffin belly, the saggy skin on my legs, thighs, bingo wings and my great big butt.  I don’t wrap my towel around myself on the way to the pool (on the way back, hell yes! It’s cold in that hallway!) I’m there to get some exercise and have some fun, just like everyone else in my class and everyone else in the gym.

Having been a regular at gyms for a while now, I’ve noticed a few things: those toned athletic young people are just about out-numbered by the older chubby less-toned members.  For every shirtless young guy in shorts is an older guy with a belly, age spots and cut off sweats.  For every tanned young woman with sculpted arms and legs is an older grey haired woman with chubby thighs and a double chin. No one points at anyone else and most members are happy to help someone new by pointing out the locker room or how to use the equipment. I admit the first time I walked into a gym, I was nervous. I didn’t know where anything was or how anything worked, and it took a little time before I got comfortable with everything.  Being nervous is okay but being afraid isn’t.  If you let your fear of being laughed at dictate what you do and where you go, you will have a very narrow and lonely life. Being overweight isn’t a crime any more than being poor, Mexican or having a different first name. Being afraid of being laughed at or being ashamed of who you are has no place in the gym or in our lives.  I learned that in grade school.

Coming Up For Air: Weight Loss & Getting Perspective

When it comes to losing weight, most of us know what are problems are.  We get lazy about food choices; we give in to cravings; we bail on our workouts because we just don’t feel like it– whatever the excuse is, we know it’s an excuse no matter how we try to justify it!

For some of us, though, we don’t know what the problem is until we are away from the problem.  I remember last year when my weight loss started to hit a few bumps and I was feeling really tired, really stressed and there were quite a few days when I made the ‘best fast food choice’ I could because I didn’t have time to cook.  I was very depressed about the whole situation, mainly blaming myself for making excuses. I was emailing a friend about what was going on in my life: I was working & commuting as usual (2 hrs each way x 5 days a week); I was taking care of my mom’s dogs (going by her place 3-5 times a week) and taking them to the groomers/ vet; I was taking care of my own errands (my dog, groceries & truck maintenance); I was trying to make my workouts (2-3 x week) and I had been doing this since August.  At the time of my email, it was November and of course, now I had to add holiday shopping into that list.  After spending most of one day each weekend with my mom’s dogs while she was in the hospital and going by her home evenings 3-4 times a week after I got off work/ gym/ grocery store, I was too tired to cook when I got home at 8 or 8:30 p.m.  If I didn’t have something healthy I could quickly heat up, then here comes the ‘healthy fast food!’  After taking care of my own pets, housework and dinner, I’d be lucky if I got to bed around 10:00 and then I’m getting up again at 5:30 a.m.  While it still feels like a lot of excuses to me, there were a few of my gym friends whose mouths dropped when I told them what I was doing on a regular basis, and had been doing for nearly four months straight.  No wonder I was tired and cranky!

When I actually stopped to re-read what I had written, I realized that’s a lot to cram into 168 hours a week, and that includes sleeping! Once I wrote it down as an objective list of what I was doing on a daily and weekly basis, I got perspective on my situation. There were legitimate reasons I was feeling so tired and cranky and my eating choices were seriously skewed. The point isn’t “great! I have reasons, not excuses!”; the point is that now I have some perspective on the situation, I can begin to formulate a planned response instead of just jumping from crisis to crisis!  In a lot of ways, this situation was nearly a mirror image of the last two years I worked The Job From Hell: late hours, poor eating choices, no activity, no sleep and triple stress!  I was too busy bouncing from crisis to crisis to stop and get perspective on my situation or figure out how to improve it.  This is the same situation that propelled my weight to nearly 440 lbs and caused my general health to head into the toilet.  In short, it nearly killed me and, while my health and weight were greatly improved by August 2017, I was heading back down the road to where I was in September 2014. Definitely not a good place to be!

Perspective is important, and not just when it comes to weight loss.  What I had been doing at The Job From Hell and those four months last year was slapping band-aids on problems that needed serious attention, and unfortunately, that’s what a lot of us do. When we aren’t being deluged with crises, we all know what kinds of problems can get by with a band-aid and what needs a real solution but when we are drowning in emergencies and ‘gotta do it now!’ situations, we can’t see that. We are too busy trying to keep from drowning to realize that we are bailing out an ocean liner with a teacup.  Maybe you’ve seen the commercial for car insurance where the driver spills his coffee and since he’s reacting to the spilled coffee, he doesn’t see the car in front of him.  It’s because our focus has shifted to what looks like an emergency.  Maybe it is a genuine emergency but unless we keep our focus where it needs to be, our overall situation will never improve.  This is why we need to step back and get a good objective view of what is really going on.

On a recent episode of My 600 lb Life: Where Are They Now?, we got an update on Erica’s weight loss journey. Her first episode was heart-breaking for me because while she lived alone, she was completely dependent on her brother, sister and niece for any assistance such as shopping and some personal care. Only her niece seemed to have any sympathy  or real concern for her situation.  Her brother was apathetic at best and her sister was downright cruel at times.  Although her sister and brother-in-law eventually helped her, it was blatantly obvious that it was not from the goodness of their hearts!  Their nasty snide remarks and threats to stop helping her made it clear that Erica had two choices: meekly accept the abuse or go it on her own.  As it was, their assistance was minimal at best and at worst, it literally put her life at risk. Rather than take the few days to drive her from Central California to Houston, they would only take her if she went on a plane, despite the risk of fatal complications involved with flying. With a flight of about five hours and weighing 661 lbs, Erica was in real danger of developing a fatal blood clot (deep vein thrombosis or pulmonary embolism). As it was, upon her arrival in Houston, she ended up being hospitalized due to severe dehydration. (She was so dehydrated she had blood in her urine.)

Erica’s overall attitude was more negative than most patients. It was apparent she had made a difficult last-ditch effort to save her life and she had almost no support from her family. She was not only struggling against her own issues: she had to fight her family’s negativity as well.

It wasn’t until after she had moved to Houston and been living there for a while that she realized her separation from her family and the situation in California allowed her to get perspective on her struggles. When she had to return to California due to finances, she was able to put together a planned response to the issues she knew she was going to have to face. As a result of getting perspective and formulating a plan, Erica was able to make significant progress on her weight loss and at the end of this update, she was within 60-70 lbs of her goal weight.

Getting perspective is hard, mainly because we’re too close to the problem to realize we’re drowning. This is one reason some kind of support community is so important to success: you get the benefit of perspective. You don’t have to get a therapist like Erica did; in my case, I was just emailing a friend. I also share my frustrations and experiences in an online community (My Fitness Pal). A supportive community of any kind not only provides encouragement, ideas and suggestions but it also lets someone who is not drowning in your situation to offer an objective opinion, even if it’s something as simple as “don’t you think that’s a lot of changes all at once?” (They were right!) Perspective allows you to make well considered decisions instead of just reacting to what’s going on around you. It allows you to exercise some control over a situation that may not be entirely within your control. It allows you to develop contingency plans, which in my case meant keeping quick-cooking healthy food on hand (eggs, steam-ready veggies) so I didn’t have to resort to ‘so-called healthy fast food.’

It’s not easy for some of us to find a supportive community and a lot of us think we don’t need one. We do. All the other times I tried to lose weight failed and a big part of that failure was because I was toughing it out on my own. Ironically, having no perspective on my situation kept me from seeing I was drowning all alone and it didn’t have to be that way. Your support community doesn’t have to be others involved in weight loss: some of my biggest supporters are my friends who don’t need to lose weight! They offer motivation, ideas, encouragement and that so necessary objective perspective. Being my friends is all they need to do: giving me their honest opinions, listening when I need a sympathetic sounding board and occasionally helping me come up for air.

Weight Loss & Winning: YOU Decide if You Want to Let Go or Finish the Fight

Most of my friends know that I am a rabid fan of what are now called “police procedurals.”  Back when I was a kid, we just called them “cop shows” or “detective stories.”  But, whatever you call them, books, movies or tv shows, if it was about cops and criminals, odds were I’d checked it out at least once. (FYI: I include lawyers/ court dramas in ‘police procedurals’.)

These days, my current fascination is with Michael Connelly’s Harry Bosch series.  I’ve read several of the books, listened to some more via Audible, and watched all four seasons currently available on Amazon Prime Video. One of the things I like so much about the tv show is how much of what’s in the books has made it on to the show.  For example, one of the things that made it from the books is Harry’s sign on his cubicle wall that says “Get off your ass & go knock on some doors.”  This is part of Harry’s no-nonsense, do-whatever-it-takes attitude when it comes to solving murders.

For those of you not familiar with the fictional character of Hieronymous “Harry” Bosch, he is the archetypal “cop on a mission.”  (The title theme on the show is pure Bosch: “Can’t Let Go” by Caught A Ghost.)  For his good or ill, and sometimes it’s both, Harry Bosch doesn’t let go.  He’ll do whatever it takes to get the job done, even if means he takes the heat for getting in someone’s way.  As far as fiction goes, it makes for some great drama, and while watching the tail end of season four, I spotted another sign on the wall of the precinct that I think was some great subliminal messaging: Harry is leaning against a bulletin board listening to one of his fellow detectives update the task force and right next to him is a sign saying “Winners are simply willing to do what losers won’t.”  While that statement is an accurate description of his character, as a viewer, it made me ask myself that question: what am I willing to do?

Not too long ago, I posted a similar phrase I found online: We seldom do things to best of our ability; we do them to the best of our willingness.  This one is along the same lines, but it also stresses this is the difference between winning and losing. If we knew the difference between losing 100 lbs and not losing 100 lbs was giving up bread, are we willing to make that choice?  If you knew you could be so much healthier if you didn’t eat sugar, are you willing to stop eating sugar?  While it’s easy to say, “if I knew for sure, then I’d do it!”  But as long as it’s just ‘an educated guess,’ we’re not going to stop eating bread or sugar? This doesn’t mean that we have to be rigid in our eating or super-strict when it comes to counting calories, but when it comes to our goals, we need to keep our eyes focused on what we are trying to achieve.  Sometimes that can mean being a little strict and sometimes that means doing what’s hard. 

Let’s be honest when it comes to fictional Harry Bosch: if Connelly’s cop took the easy way out the way some of his fictional colleagues do, no one would be reading the books or watching the tv show! We regularly tune in to see Harry go through the wringer and come out the other side with the killer in tow! It’s the struggle that makes for great drama, but in real life, drama and struggling are not so much fun!  It’s one thing to watch a tv character take it on the chin in a fistfight but it’s another thing to be sitting at a BBQ watching everyone washing down chips and hot dogs with beer and soda! It’s bad enough to see it and smell it but having to say no thanks when others offer you the same? Talk about struggling! Real life can be a real pain in the butt! No one wants to make things hard for ourselves, especially when it comes to the ‘simple pleasures’ that add so much to our lives, like hanging with friends at a BBQ! Not eating what they’re eating may not be the ‘pleasure’ you mean, but your not eating or drinking can draw unwanted attention and make others (and you!) feel self-conscious.  What’s fun about that? Now ‘eating healthier’ just got in the way of one of your major relaxation activities!

This is where a lot of us will try to choose the lesser evil or the greater good and choose one hot dog and/ or one beer to be part of the crowd.  I’m not going to judge, because only you know what’s in line with your goals and what’s not.  I am going to say that some of us (raising my hand here) will use this as an escape hatch for making too many ‘accommodations.’  It’s like the old saying: the exception becomes the rule.  If we are constantly making exceptions to have the one hot dog & beer at each BBQ, how long before it turns into two beers/ hot dogs, or even if it stays just one of each, there’s a difference between having one hot dog & beer once a month and having ‘one hot dog & beer’ once a week, because you get together with your friends on Friday nights and then at the BBQ later in the month and then there’s that work luncheon- meeting and you don’t want to draw attention to being different, so you have one slice of pizza and a soda.  It’s easy to allow those little ‘accommodations’ to take over the majority of your eating! Making too many of these exceptions, even if they don’t take over the majority of your eating, they can counteract all the good eating choices you are still making! Does it matter if you had a salad and lean beef for lunch if you then have pretzels, beer and a burger with your buddies when you want to ‘be part of the crowd’?  Been there- getting away from that!

Maybe that’s why the sign in Bosch jumped out at me.  (I actually backed it up so I could write it down!) What am I willing to do that I have not been willing to do up to now?  For starters, I can stop with all the exceptions! I can still be part of the crowd and not have the same food as the others, and if they are my friends, they will support my choices.  If they’re my coworkers, how I eat isn’t their business (not my friends’ business either, but I care what they think!) If it means a few awkward moments, my friends will get over it and so will I. It also reminds me that sometimes doing what it takes to win can be hard.  We all know weight loss is right up there with quitting smoking and if they were easy, we’d all be skinny nonsmokers! Sometimes, it means we have to make the hard choice and say no thanks to the cookies at the party or pass the bowl of chips without grabbing any.  For me, this means keeping my hand out of the bread basket and leaving the licorice alone.  It’s easy to make an excuse: it’s just one; it’s because of the party; it’s a vacation day; etc. We make it hard to let it go because of where we are putting our focus: we focus on what we want (the chips, the beer, the licorice) rather than on our goals of being leaner or healthier.  We all know what we get if we keep doing what’s easy– all we have to do is look in the mirror! If we really want to win, then we need to get off our butts and go do something positive about it!

Tunnel Vision: Weight Loss & Broadening Your Vision

We’re all prone to tunnel vision at some time or another. We get locked into one way of thinking and forget that we locked the door ourselves. When it comes to weight loss, we often don’t realize we’re locked into tunnel vision because we’ve never seen outside the tunnel. Even when presented with outside-the-tunnel options, we may not recognize them as options they are: to us, they may seem crazy or completely out of our reach!

When it comes to weight loss, so many of us think in the ‘All or Nothing’ mindset: either we’re completely on board with our diet or we’ve blown the whole thing. This is where most of us get stuck in the tunnel. We look at our Diet as difficult, restrictive, bland and miserable. We see it as something temporary and our goal is to get done with it so we can go back to our Normal Life aka Eating Like Before.  Welcome to the Diet Tunnel!

The most successful weight loss plans aren’t diets: they’re lifestyle changes— as in permanent. But permanent doesn’t mean we’re locked into that Diet Tunnel. It doesn’t mean we can’t ever eat bread or pizza or cinnamon rolls again. It means we are selective about when we eat them. It means we think about what we eat before we eat it! Not thinking before eating is how many of us gained as much weight as we did.  We see it; we want it; we eat it! At the end of the day, most of us never thought about how much we ate during the day, unless we were super stuffed. If we did happen to think about it, we either moaned about how “out of control” we are or we gloss over it and leave out some of the foods that we tell ourselves ‘don’t count.’  These would be things like the odd bites of pastry or the handful of chips at lunch or the energy bar we picked up at the gas station to ‘tide us over’ until dinner.

Five tortilla chips really don’t amount to much but five chips + one Quest bar + half a danish begin to add up over the day and the week and finally take up residence on your muffin-top belly.  They count, but how much they count depends on you and whether you thought about them before you ate them! This is where most of us are in that Diet Tunnel: we see the chip basket on the table and our first thought is “NO CHIPS!” Having a few chips is okay as long as you think about them and then before you grab that Quest bar on the way home, you pause: “I already had a handful of chips and half a danish.  Maybe I should skip the bar.”  If you really want that bar, maybe you skip the butter on the Brussels sprouts at dinner or cut the sweet potato in half.  You are in charge of your eating and you don’t get points for making yourself miserable, starving yourself or eating only lettuce.  This is why the permanent lifestyle changes win out over the Diet Mentality: once we learn to eat healthy things we enjoy in a way that keeps us healthy and losing weight, we don’t have to moan and groan about the chips or the ice cream or the bagels.  The key is balance, not deprivation!

The other place where most people get tripped up is when it comes to eating at home.  In an effort to promote healthy eating, a lot of magazines, books and websites publish recipes: healthy food, usually low calorie or low carb, and full of flavor!  It’s a great idea…IF you enjoy cooking!! Some of us aren’t fond of long ingredient lists or complicated steps or hours of prep time. That doesn’t mean I’m stuck with boring bland food unless I get take out or go out to eat.  It means I have to look outside that Tunnel and see what options are available to me that I feel comfortable making at home.  This can mean putting something in the slow cooker when I leave for work; it can mean preparing a lot of food on the weekend and putting it in the fridge or freezer.  Usually for me it means I make three or four burgers, steaks or ribs on one night and heat up the rest during the week. (I usually undercook the ones I’m saving for later so when I heat them up again, they aren’t overcooked.)  This works for me because I don’t need to eat something complicated: I like simple food.  For me, ‘make it yourself coleslaw’ and a pan-fried pork steak are just fine for me! That doesn’t mean they’re bland either: I usually dress them up with some of my favorite spice blends.

If you really don’t feel like cooking, there are healthy options at most grocery stores.  My old standby is still bagged salad/ veggies and rotisserie chicken! They also have frozen burgers ready to reheat, frozen quiche and many other healthy options you just need to reheat.

Getting out of the Tunnel doesn’t just mean food or cooking: it also means activity.  When your main evening activities are sitting in front of the tv and eating;or getting online and eating; or reading and eating; or [insert sedentary activity here] and eating, you need to look for something else to fill your time.  Believe me, doing what you used to do and thinking about not-eating is just rubbing salt in the wound.  It’s a lot like an alcoholic hanging out with his drinking buddies and thinking about not-drinking. When my uncle stopped drinking, he started hanging out with my dad a lot.  There were phone calls every night except for his Meeting Night and lots of activities on the weekends and it was for the same reason: my dad has never been a drinker so when he’s with my dad, it’s never an issue or an option.  While we may not all be food addicts, we still have behavior that triggers us to eat out of habit.  How many of us automatically stand in the popcorn & soda line when we enter a theater?

When we’re used to getting a bag of chips and sitting down to watch our usual show or we hit the Starbucks to grab a Frappucino and scroll through our Instagram, those are triggers.  We can still watch our show and scroll but we are usually conscious that ‘something is missing.’  Triggering the craving is making it harder than it needs to be! It’s keeping us locked in the Tunnel as well as pushing us over the edge when it comes to ‘sticking to our Diet.’  That doesn’t mean you can’t ever watch tv or hit up a Starbucks, but it does mean that you have to think outside the Tunnel.  That can be something as simple as watching tv and keeping your hands occupied with something else, such as folding laundry, writing in your journal, playing tug of war with your dog, or (in my case) doing my nails. There was a transition period, since I obviously can’t do my nails every night, but once I got in the habit of doing something other than eating while in front of the tv, the trigger went away.  The same is true for just about any behavior or activity: if it triggers the impulse to eat, either replace the eating with something else or re-evaluate that activity’s importance in your life. If sitting at Starbucks is too much temptation, find someplace else with WiFi to scroll through your phone. (My gym has free WiFi!) Or maybe you make a new ‘phone’ habit, like doing it at home or you check your social media at home on the laptop?

It takes some practice to find out what’s outside the Tunnel and what options will work for you and what won’t. I hear a lot about “batch cooking” on healthy lifestyle podcasts but while making that much food doesn’t work for me, I do a version of it that does: instead of cooking one burger or serving of veggies every night, I do enough for two or three and just warm up the rest. When I hit Starbucks, instead of a macchiato or a latte, it’s brewed coffee or an americano with cream.  Sometimes I’m really out there and just get tea! The activities don’t have to be drastically different- they just have to be different enough to change your triggers and keep you on track with your weight loss goals.

Having a solid support system is critical when it comes to seeing outside the Tunnel.  As I mentioned before, if we’re not used to looking at things differently, we probably won’t see the options available. This is where having resources come in. I have a fitness community (My Fitness Pal) but you can still use any supportive community (Facebook, Instagram) or even website with ideas or recipes (Nom Nom Paleo; Primal Potential, etc).  The idea is to surround yourself with options and try them out! There is a way out of the Diet Tunnel but until you unlock that door yourself, you may never get out.

It Takes a Village to Lose Weight: Weight Loss & Community

We’ve all heard the expression “it takes a village to raise a child.” When it comes to weight loss, our idea of community is usually limited to a partner or an “accountabili-buddy.” What we don’t realize is that support is more than just a workout partner or a diet buddy: it really takes a village (or community).

That doesn’t mean we’re doomed to failure if we don’t have that community; it just means it’s going to be a lot harder than it has to be. A couple years before I quit The Job From Hell and really lost weight, the Associate I worked with told me about My Fitness Pal (MFP). He lost about 30-40 lbs using it and I didn’t. Even though I logged my meals, I didn’t have “friends” or even look at the Forums. Essentially, even though I was using an app with millions of users who could have been supportive, I was alone. After a few weeks, I gave up: I stopped logging, and I stopped trying.

When I went back to MFP, I browsed the Forums, I responded to others’ posts and I made friends. This community I’m now a part of isn’t just “you can do it!”: it’s a resource for new ideas, points of reference and explanations. This community is where I first learned about the ketogenic diet and ketosis, Intermittent Fasting, fat bombs, new recipes and- huge for me- the Primal Potential Podcast.

This is the place where I ask questions about how to try something new, if I’m not sure I’m doing it correctly, if I’m not sure about my results, or anything at all. If I need a recommendation about a product (like MCT oil), this is where I go. If I’m not getting the results I want with IF (Intermittent Fasting), they give their recommendations for what’s worked for them. Even if I’m not having an issue, they still provide new ideas or perspectives.

I also don’t want to minimize the importance of the “you can do it!” support. This is a safe place to vent frustrations, rants and feelings of all kinds. Naturally there’ve been times when I feel like I’m completely screwing up and losing control, so just posting on MFP for me is therapeutic. I don’t have to keep negative feelings inside where they can fester and I can share happy feelings as well. What I sometimes forget is that when we’re buried in the middle of a difficult situation, we lose perspective. There’ve been times when, after I’ve posted about it, I get a Reality Check from my friends letting me know that, yes, this is really a hard situation and I’m doing pretty good, all things considered! This was especially true the last four months of 2017. My sister was getting married out of state, I was originally just the wedding planner, ended up being the officiant, all of which meant getting everything arranged and myself certified- all in under ninety days! On top of that, my mom had major surgery which necessitated a three month stay in the hospital, which meant my dad (her ex-husband) and I had to take care of her two dogs (one a puppy) and her house. Then there was my own life: my pets, my house, working, commuting, weight loss, working out, friends and commitments. Yay, stress??

Posting my frustrations, stress freak- outs, rants and just “I feel incredibly overwhelmed!” helped me keep my focus where it needed to be and it also helped validate that: 1) I’m not crazy; 2) it’s okay to feel stressed; 3) I don’t have to be perfect; and 4) I’m going to get through this. The support I got from my friends on MFP was (and is) invaluable!

It also gives me the opportunity to support them. It may seem backwards, but being able to offer my support to them reinforces my focus on my own weight loss. There’s also something truly uplifting to be able to help someone else. These kinds of exchanges create an network that makes it harder for our goals to fall by the wayside. The community, diverse as it is, has a common focus on health and weight loss and it’s committed to reaching common goals.

I know it might seem touchy- feely but just knowing there’s a safe supportive place where you can vent about what the family did, how the job is screwing up our workouts, or how we’re having overwhelming chocolate cravings is an awesome stress reliever! It’s also the first place to go when we’ve got questions and the combination of support and information is unbeatable. The benefit of a ‘village’ is diverse generations of knowledge, experience and support to draw on. Why not use it?

Weight Loss & The Sympathy Junkie: Just Say NO!

I’m sure you’ve heard me talk about “sympathy junkies” in some of my posts. I have a lot of experience with people who have this disorder.  While I know one of the terms for it is Munchhausen Syndrome and others call it narcissism, I usually boil it down the “Look at Me!” mentality.  Whatever it is going on with them, these people want to be the center of attention.  They are firm believers in the motto “there’s no such thing as bad publicity!” Hah! I can think of a few celebrities and corporations that would disagree: it’s not always a good thing to have people focused on you.

There’s nothing wrong with positive attention.  If you’ve done something good, we all like the pat on the head and the “attaboy/ attagirl!”  But most of us are also familiar with the schoolyard bully who’d hit kids just to get the teacher’s attention because he wasn’t getting any at home. For this kid, any attention was positive attention because it was better than NO attention.

For some of us, this idea of attention has become connected to our weight loss and health improvement goals.  Most times, it’s a good thing: we lose weight, we become more fit, we eat healthier and we get a lot of positive attention from our family and friends.  They’re proud of our success and the positive attention encourages us to keep making positive changes and to continue to do well.  That’s how it’s supposed to work and most of the time, that’s what happens with us.

For some of us, mainly the sympathy junkies, they’re like the schoolyard bullies: they want any kind of attention, and if they can’t get it by doing something good, they’ll get it for being helpless or having some kind of problem.  We all know people who have problem after problem and their lives are one trainwreck after another. “Poor Mimi! Nothing good ever happens to her!”  The irony is that Mimi and others like her are only happy when they’re miserable, while the rest of us just silently groan and ask “what’s wrong with Mimi today?” There is no real sympathy left because she’s cried wolf every day since you met her.

I gave serious thought before writing about this topic and I had put it on the back burner for several weeks, because, really, does it relate to weight loss?  The very day I had reviewed it and decided I was going to table it indefinitely, something happened that reminded me that yes, this is a topic that can affect our weight loss.

For starters, we definitely do not want to be Mimi the Munchhausen Moaner whom no one wants to be around! There’s a reason no one likes her: she’s always complaining, always helpless and always wants all of your time and attention.  (For the record: it can be Mike the Munchhausen Moaner, too!)

For most of us, when we hit a snag with our workouts or a plateau in our weight loss, we bring up our problem because we are looking for a solution. We’re obviously not doing something right or we’ve injured ourselves or we need to make a change, so we’re asking for help.  Sympathy is nice, but it’s not going to help me recover from my injury or make progress with my weight loss. Solutions only, please!

The sympathy junkies don’t want solutions- they just want your sympathy and attention! When you start coming up with alternate workouts or changes to their eating plans, they usually start coming up with reasons why that doesn’t work for them. They can’t change their workout because of this ailment or other injury; they can’t change how their eating habits because of blah blah blah.  That’s a huge clue you are dealing with a sympathy junkie: they’ve got an infinite number of excuses or failing that, they’re great at failing! They tried and failed and now they’re just doomed. (Cue the melodramatic music!) It’s also a huge clue if you find excuses tripping glibly off your tongue: you are not looking for an actual solution to your problem!

Most of us don’t have this problem: we want a solution so we can move forward.  Mimi (or Mike) is our real problem: we have one or more of them in our lives! To be blunt, they are giant sinkholes. They waste our time and our energy and frankly, they wear on our nerves.  It would be different if they wanted to improve or a solution to their problem but they don’t.  They just want you either to do something for them or pay attention to them.

Believe it or not, they do affect our weight loss because they are sapping time that could be put to working out or meal planning or another activity.  They sap our energy so that by the time we are done dealing with their “Drama du jour,” we’re too mentally or physically exhausted to take care of ourselves, and they add to our stress since we are usually expected to drop everything to deal with that Drama du jour again in the middle of our day or week. So much for our workout/ walk/ grocery trip! Goodbye healthy lunch since now we’ve got to scarf it (or something else) on the way to deal with Mimi or Mike! Not to mention keeping us up nights either with resentment or just fretting over what they’re going to drop on us next!

Lack of sleep and chronic stress trigger our bodies to hang on to our energy stores, aka body fat.  We’re fighting the tide when we don’t get enough rest or are always stressed out. (Haven’t we all got enough of our own problems?) Not to mention the sabotage to our healthy meal planning, eating habits and workouts.  We might have something healthy at home ready to prepare but then we get stuck at Mike’s house because of another disaster he needs our help with so by the time we get home, it’s either eat nothing at all or what’s quick? (Too often, ‘quick’ ends up being the healthiest option at the drive-thru.) It interferes with meal planning or meal prep for the same reasons: we set aside time to do it and then Hurricane Mimi hits and all that goes out the window! So when we go to bed that night, we may not have accomplished all we needed to, so now we’re fretting about “what do I do for meals the rest of the week?” and “what’s next with Mimi?”

Obviously, if Mimi / Mike is not a relative, removing her/ him from your circle of friends is easier, but if they’re relatives, then it’s more problematic. Telling them you’re too busy may not be a viable option, but ultimately you need to understand that while he and she are not doing you any favors, you are not doing them any favors either by jumping every time they call.

One of the issues Dr. Nowzaradan (My 600 lb Life) has to deal with on a regular basis is his patients’ enablers.  These are the people who make it easy for his patients to eat 10,000+ calories daily because they either buy it for them, bring it to them or both! Obviously, if it’s hard for you to walk or drive, you’re not going to be wandering around the grocery store filling your cart with brownies, chips or candy and if it’s hard for you to fit behind a steering wheel, you’re not going to be hitting Dunkin Donuts, Sonic or KFC multiple times a day.  His patients get to 500 lbs or more because there are people who do this for them, and they are obviously not doing these super morbidly obese patients any favors.  This is what an enabler does: make it easy for the bad behavior to continue.

Every time you come when Mimi or Mike has their daily disaster, you make it easy for them to continue this attention-seeking behavior. When their toilet gets stopped up or their cell phone dies or they have a flat tire, they can do what everyone else does and call a plumber, the auto club or take the phone to the wireless store. When they have a problem and call you, give them a solution and go on with your day.  When they keep calling with excuses or why they need your help, you do not have to answer! They’ll either take your advice or eventually stop calling you. FYI: be prepared for a tantrum and a lot of passive-aggressive retaliation about how you’re too busy to help them out.  The answer is “Yes, I am too busy! Sorry about that!” I know this sounds harsh, especially if Mike/ Mimi is a relative, but the more they lean on you, the more dependent they become.  Unless they are an actual invalid, this is not good for them because when the time comes for them to act on their own (and it always does), they won’t know what to do because you (or someone else) has always taken care of them!

The Mimi in my life sparks a lot of anger and resentment which not only keeps me up nights, but I’ve recently learned that I do not make the healthiest meal choices when I am angry at her. When dealing with her daily disaster, I am more prone to grab something that I know is not good for me because I am not paying attention to what I am doing: my focus is what she just dumped on me and how angry I am. While blaming Mimi for my bad choice is one excuse I can make, the truth is that it’s my fault for not dealing with Mimi. Allowing the Mimis and Mikes in our lives to run roughshod over our plans and goals is simply an excuse we make for our own failures and in the end we become mini versions of them by blaming them for our behavior: “I’d have reached by goal by now but Mike/ Mimi kept getting in my way.” Sound familiar? Sounds a bit scary to me!

 

 

The Most Important Rule: Rule 28 & Weight Loss

A couple of weeks ago, I wrote a post incorporating “rules” from NCIS, one of my favorite shows.  After posting “Sometimes You’re Wrong”: Rule 51 & Weight Loss, I realized I’d not mentioned probably THE most important rule: Rule #28 “If you need help, ask!”

While we really don’t need to think of this as a “rule,” the concept alone is incredibly important in our lives, whether it’s weight loss or not.  Not asking for help is what gets so many of us in trouble and usually it’s our own fault.  I don’t want to assign blame (as attorneys say) mainly because we don’t ask for help because we don’t realize it’s an option.  Obviously, if you’re moving a sofa, you ask for help because there is no way one person is going to be able to carry a sofa and unless you’re pushing it to another spot in the same room, you’re going to need help. But when it comes to things like weight loss, it’s not like your friends and family can do it for you! “I’m totally on my own here! Right?”

Not necessarily! While you can’t ask your family to not-eat those marshmallow peeps for you, you can ask them not to eat them around you.  I know my Rule #52 post was about not expecting your family to eat the same things you eat and not making “rules” about what they can bring home, so it might sound like I’m back-tracking a bit here, but it’s okay to ask for help even if that help is “please don’t eat the Oreos I love in front of me.”  It’s one thing to make rules but it’s another to ask for someone to be considerate, which means you have to be considerate too! If your family is having movie night and everyone’s eating popcorn, you may have to sit on your hands to keep from eating it yourself because making a rule that “no one eats popcorn in front of dad!” is unfair to the rest of the family.  Ordering everyone not to eat snacks after dinner is inconsiderate to everyone in your home; asking them not to do it in front of you is a little different, and sometimes it means that you have to bite the bullet and resist your cravings, as in movie night.

Of course, asking for help means you need to admit that you need help controlling your impulses with foods like those. For some people, that’s a hard thing to do.  Just asking for help for anything is hard for some people including me! It means admitting that you can’t do everything on your own.  Really, I don’t know why that should seem so hard, but as I just admitted, I have a problem doing it! “No I don’t need any help washing my pickup!” “No I can wrangle both these crazy dogs on my own!” “No I don’t mind going out to Chinese- I’ll be okay!” And I am okay with the Chinese, until I start munching on the fried won tons! So maybe asking them not to order those would have been a good idea…

For some of us (like me), being independent is pretty important.  I remember I severely sprained my back one summer moving a bookcase.  It never occurred to me to ask for help- I was just sliding it three feet down the wall! Over the years, I’ve come to realize that not asking for help is literally asking to do things the hard way. No one can be expected to know everything or do everything on their own and to expect someone to do it all on their own is frankly unreasonable. I know that and I really like helping others, but when it comes to asking for help myself, welllll I’m not so good at it. I have to remind myself that asking for help is not the same as saying “I’m incapable!”

For a lot of people, asking for help where information is involved is equal to saying “I’m not smart enough to find out on my own!” We’ve all met people like this: they’re the ones who ‘know everything’ about a topic even though it’s fairly obvious that they didn’t until you brought it up. Admitting ignorance is not the same as admitting stupidity! When I was a teacher, I’d regularly meet students who were afraid of asking a ‘stupid question.’ I would always tell them the only stupid question is the one you don’t ask, because if you thought of it, so did someone else!

When I went to work for a probate attorney, one of programs I needed to use was Excel, of which I knew nothing other than it’s the green icon on my computer screen.  I went out and bought Excel for Dummies. (I usually recommend Nutrition for Dummies when people want to eat healthier.) I’d had some experience with those books and a hallmark of their set up is that they assume you know nothing about the subject of the book.  That was pretty much my starting point!  What surprises me the most when I recommend them is how often people are offended by the title or embarrassed on my behalf when I tell them I read it. There is no shame in admitting you don’t know everything about a topic! Don’t forget that wisdom begins with a question!  Years later I am now fairly competent in Excel, though by no means an expert, but I’ve made worksheet that we use for calculating our settlement costs. It adds up our fees and costs, subtracts them from the settlement, shows the net settlement and reconciles the amounts. It does what I need it to do and it’s something I put together myself in about half an hour. When people ask me ‘what class did you take?’ I tell them it was a Dummies book and they look shocked or offended.  I’m not: I didn’t know how to do it and now I do! Why should I be embarrassed?

Asking for help is hard. I still remind myself.  That’s how I came to be writing this blog and this post in particular. I started this blog was to pass on information I’ve learned over the last couple of years because if I had known most of this stuff when I was in my 20’s or 30’s, I would not have gained nearly 440 lbs! There was no almost no information available beyond naysayers who were too busy promoting the low-fat, high-carb diet aka the Diet That Nearly Killed Me! As for this post in particular, I have a lot of boxes and furniture in my house that need to be moved around and I finally that if I’m going to get it done without hurting myself and in a reasonable time frame, I’m going to need some help doing that.  I bit the bullet and asked my dad if he could bring his dolly and truck to help me out.  While I was ‘rationalizing’ why it was okay to ask for help, I came across Gibbs’ rules and while reading through them again, I saw #28 “If you need help, ask!” Duhhhh.   Asking for help or information is not admitting weakness or stupidity: it’s common sense! It’s how we learn to do anything and it’s how we get things done. It’s true when it comes to moving furniture, learning a program, losing weight and even building stronger bonds with your family.  Even if your family never decides to ‘eat healthy’ as a group, asking them to help you lose weight can strengthen bonds and create a sense of unity.  Many times people are surprised to learn that family members are often eager to help. Losing weight is hard enough without having to go through it alone. Why do it the hard way?

 

Weighty Issues: Judgment, Obesity and Life & Death

One of the constant refrains on My 600 lb Life is Dr. Nowzaradan’s warning to patients that they don’t realize how close to death they truly are.  Unfortunately, I’ve seen a few other programs dealing with super morbidly obese patients who didn’t have the chance to make it to surgery or the surgery came too late. I know probably better than most how difficult it is to struggle with obesity all your life and the dangers that come with it.  For those who’ve never had weight problems, it probably seems like the obese are just lazy or gluttonous and while they don’t believe we are deserving of sympathy or help, they do believe we are deserving of their disgust and derision.

I can understand how some people never think of a box of donuts or a bag of chips as dangerous. Personally, I’ve never thought of a case of beer as being something dangerous to me, but to other people in my family, it might as well be a rattlesnake: if you don’t watch out, it can bite you! For those who’ve never struggled with their weight, they don’t understand how someone can eat a whole loaf of garlic bread at one meal any more than I can understand how someone can drink a whole case of beer in a couple of hours (or less). But just like people can drink themselves to death, people can eat themselves to death.  Obesity, like alcoholism, can kill you in more than a few ways.

The most obvious way obesity kills you is that your weight is just too much stress on your body.  Your heart and lungs are simply crushed by your weight: your body is too big for your heart to keep the blood flowing to all your organs and extremities, and as for your lungs, not only are they struggling to keep up with the oxygen demands for your body, but they are having to fight the weight of your chest each time you take a breath.  And that’s the situation if you have no other health problems related to your weight! There’s a host of health problems that come with obesity, including type 2 diabetes, congestive heart failure, kidney (renal) failure, sleep apnea, high blood pressure (hypertension) and fatty liver disease just to name a few.  Those are the ones that can kill you, but there are a lot more than just make your life utterly miserable, such as lymphedema, skin ulcerations, cellulitis, asthma and gout. FYI: some of these can kill you too if you don’t keep them under control.

Obviously not-being-obese is a big step towards staying healthy. Of course there are plenty of skinny people who have serious health problems but when you weigh double (or triple) what you are supposed to weigh, you have a lot less wiggle room when it comes to your health.  Getting an infection that might be mild to someone with normal weight can be fatal when you weigh 500 lbs.

For most of us, we scoff at the idea that we will ever be anywhere close to 500 lbs.  Even while we may admit that we ‘might be overweight,’ we never think that we’ll be as big as ‘those people.’  I was reminded today of the frog analogy.  Most of us are familiar with it: you drop a frog in boiling water and it jumps right out, but if you put the frog in cold water and slowly turn up the heat, the frog will get cooked alive. (As a frog lover, I totally hate that analogy!) Whether it’s true or not, this is what happens to most of us when it comes to our weight. We start out a few pounds overweight and don’t think much of it; then we end up getting kind of plump and start thinking we should fix this; and then we’re suddenly shopping in the plus size department and start to get really concerned (maybe we even start dieting), and before we know it we are really-without-a-doubt FAT and now we start freaking out.  We don’t give much thought to the fact that food is everywhere. It’s cheap and easy to get and we often eat without even thinking about it.  How many of us have finished off a bag of chips or most if not all of a box of cookies without realizing it? It’s not that we’re gluttons– the cookies were just there and available and we weren’t paying attention!

This is what overeating is like for most people: too much pizza out with friends; scarfing a whole bag/ box of something while binge-watching a favorite show; or too many holiday treats.  But for some of us, overeating has way more in common with alcoholism: it’s become an addiction.  There are more than a few ‘experts’ that protest the idea of a ‘food addiction,’ but for the patient, it’s irrelevant.  They need to find a way to control their eating so they can lose the weight before it kills them! Does this sound over-dramatic? Believe me, it’s not.

People overeat for a variety of reasons.  For some of them, it’s a comfort mechanism: eating something they enjoy makes them feel safe and happy for a little while.  For others, it’s a way of controlling their body or their situation: it takes away feelings of helplessness. I am sure there are other reasons and for many super morbidly obese people, they may not know why they overeat.  The point is that when your weight is approaching a quarter ton, your first goal is to get control of the weight and worry about the whys and wherefores later. It’s basic damage control. Why you are overeating isn’t going to matter much if you’re dead.  Unfortunately, this is where most of us hit the brick wall: we know we need help but we don’t know how to get it.

I had a cousin who died from obesity.  He was in his early forties and weighed over 600 lbs.  Like all those patients on My 600 lb Life, he fought obesity all his life.  I remember him being about 18 years old and having high blood pressure. He was probably about 200 lbs then and his mom was screaming at him for eating potato chips and yelling at her husband for not hiding them from their son. He tried everything to lose weight, including joining the Army.  He was probably his thinnest ever once he got out of boot camp, but the weight came back and his health problems worsened: kidneys, diabetes, heart and liver issues. Although bariatric surgery at his weight was still highly risky, his doctor laid it out for him: either he takes the risks with surgery or he gives up and dies from his weight.  He risked the surgery and died on the table, leaving behind a wife and a son.

In my small high school, I was the second heaviest person in the school (that’s including the football players).  The heaviest person in high school was my friend Jennifer.  We were in the same grade and we took a lot of the same classes. She made a lot of her own clothes because it was hard finding anything that fit (this was the early 80’s). After graduating, Jennifer lost a lot of weight. In fact, I didn’t recognize her when I first saw her because she was ‘normal weight’ and looked so different. I confess I was completely jealous because I still weighed the same, around 200-250.  After college, she gained the weight back like so many of us do and this time she decided to try bariatric surgery.  She didn’t die in surgery like my cousin, but there was a complication with the anesthesia and she spent the last year of her life in a persistent vegetative state before dying of pneumonia.  She would have been 37.

My aunt was someone else who was always unhappy with her weight.  Unlike my cousin or my friend, my aunt (my dad’s sister in law) never approached 500 lbs or even 250.  My aunt’s weight hovered around the 200 lb mark but for her, it might as well have been 500 lbs. She hated being overweight and tried diet after diet. I tried a lot of them with her, mainly because I outweighed her by about 100 lbs.  She wanted to lose weight and lose it fast so she also opted for the gastric bypass. She was in and out of the hospital in no time at all and the weight seemed to melt off her.  She was over the moon! Until she started having issues with keeping food down.  Her weight went from slender to emaciated and she didn’t have the strength to walk or even stand up.  One of the complications with bariatric surgery that gets swept under the rug is anorexia. If eating a little bit of food leads to quick weight loss, eating even less food or no food leads to faster weight loss! For those patients who use food and their weight to control others or their surroundings, this is especially dangerous. For my aunt, I think it was just that she had always wanted to be thin so badly all her life and by the time her weight loss became a problem, the physical problems involved with anorexia had taken over. They were simply too much for her to overcome and sadly a few weeks after attending Jennifer’s funeral, I went to my aunt’s.  She was fifty-one.

The point of this post isn’t “bariatric surgery will kill you.” For a most bariatric patients, the surgery is literally life-saving. The point is I remember my cousin as being compassionate and funny and a warm-hearted young man.  I remember Jennifer as being a gifted artist, great with children and so giving of herself.  My aunt was also artistic, quick-witted, with a wicked sense of humor and a wonderful grandmother.  These are the people I knew and they are missed, but for the stranger on the street they were just fat.  They were neither gluttonous or lazy.  They were in fact some of the most industrious people I knew. Obesity is a serious medical problem but it gets overlooked because of snap judgments: “She wouldn’t weigh so much if she kept her hand out of the cookies!”; “He’d be thinner if he got off his butt and worked more!”

What is tragically ironic to me is that Jennifer, my aunt and my cousin all died while trying to help themselves while so many of the obese are stymied by their situation.  They know they need help, but other than ‘a diet’ they don’t know what to do or how to help themselves.  Unfortunately, many of their family members don’t know how to help them or believe their weight is the result of their own gluttony, laziness or greed (I remember my mom’s sister screaming at her son). Because it’s seen as “something they did to themselves,” it’s not seen for the real danger that it is. The obese are lumped in with drug addicts and alcoholics: “it’s their own fault!”  These are diseases of lifestyle, which nowadays include conditions like diabetes, but no one gets judged for having type 2 diabetes. Blame is a sad excuse for lack of compassion and a sadder excuse for letting someone die.