How often should you jump on the scale?
For many years, I never recommended to patients to weigh themselves daily (first thing in the morning). The prevailing medical opinion was that weighing oneself triggered anxieties that might end in eating disorders like anorexia and bulimia.
Contrary to what I said to my patients, however, I have weighed myself my whole life (nearly) every morning – and have kept the same weight since age twelve. Except for pregnancies, gaining twenty pounds with my daughter, forty with my son. The difference? In both cases, relentless morning sickness. With my daughter, eating or even thinking of food made me throw up; with my son, eating calmed the sickness. During pregnancy, I did not care what I weighed and how I looked; all I cared was the baby I was expecting. So I followed my body’s whims and cravings. Including the incredible craving for a lobster at a very inconvenient time…
My body feels well only within a very tight margin: Two pounds less, and faintness grips me. Two pounds more, and stuffiness prevents me bending forward.
My personal weight story made me absolutely unacceptable for several overweight patients who stated that I had never been in their shoes and could therefore not advise them. I respect that view. But it would also mean that one can’t be a good doctor for a cancer patient if one didn’t have experience with the dreaded disease. Or could couldn’t treat a heart attack because … you are getting the idea. (On the other hand, the notion that better doctors come from personal experience with serious illness, is worth spinning out. The A+ nerds who populate our medical schools – half of them should be replaced with compassionate, common-sensical young men and women).
A study showed that people who weigh themselves more often also lost more weight. That takes this discussion beyond my personal story – and here it becomes interesting.
French women supposedly don't gain weight as they age. Which means if the scale tells them they have gained a pound or two, they take action. And responsibility. That might be part of the French Paradox - that the French live longer but eat more fat. Might be they eat fat - and then put in a salad day.
A scale is a reality check. If you want to avoid looking the facts in the face – your decision. I like to confront bad situations – weight gain, disease, divorce, death (why do nearly all adverse events start with a "d"?). That led me one time to lie down in a casket and pull the lid shut, just to see how it was. It was surprisingly peaceful. What I found out in the coffin: It was nothing to fear. Read More
Blog: On Health. On Writing. On Life. On Everything.
Before You Die
June 19, 2010
If you find no new block entry here – does it mean your blogger is sitting idly around at the beach?
No. She is immersed in the novel she tries to finish before she dies. What is it you must finish before you die? Remember Miss Rumphius? Her grandfather had told her the three things one has to accomplish in life: To travel foreign lands; to live at the ocean (You might remember that “Miss Rumphius” is a Maine story); to leave the world a more beautiful place.
Husbands always feel one should clean out the attic before I die, or such – but we, who should do it, lack enthusiasm for the attic. Given one wouldn’t want to leave the mess to one’s children to sort out – but then again, who is going to die die THAT SOON??
There are tons of bucket lists on the Internet what to do before we die. Here is mine:
1. Finish your novel.
What are other people aspiring to do before they die? Skydiving, bungee jumping, parachute jumping. Too much jumping, it seems. Too short-lived and not along my alley. How about these:
2. Learn a musical instrument (or painting or wood working or weaving or pottery).
3. Grow your own vegetables and herbs. And perhaps blueberries.
4. Forgive that incredible jerk/bitch (we all have one in our lives).
5. Climb a mountain. Doesn’t need to be Mount Everest – but should be bigger than the Blue Mountains near Boston. Take part in a long bike ride. Or learn tai chi – anything that gets you moving out of your comfort zone.
6. Do a vegetable broth fast for a whole day. Once a week – until you have your ideal weight; then go to once a month.
7. Learn a new language.
8. Take a cold shower. Every day.
9. Read Les Misérables (or War and Peace, or Our Mutual Friend – or the other thousand-pages-plus tome you always wanted to read).
10. Sleep under the stars and watch a sunrise.
Others I liked: Walk the Great Wall of China, Visit Paris, Publish a book, Touch an Iceberg. Many of those traveling goals sound like fun – but they expand your carbon footprint enormously. Visiting Paris or leaning to play the cello? I have done both; nothing against Paris, but the instrument beats the town by miles.
Find Your Soul Mate would be a worthy goal, wouldn’t it be? But that is not in your hands. Strive for something attainable - you don’t want to build your life on Grace or Fate or Incredible Luck. Read More
2 Comments
Nuts and Seeds 1
June 14, 2010
Nuts would be the ideal food if it were not for their fats and calories.
True?
The problem with nuts and seeds is not their fat contents; it is that we don't regard them as food; we eat them as snacks. Which is to say, we eat already too much at lunch and dinner, and in between we delight in the taste of nuts.
Uh-oh. Thus their calories will end up on our hips.
But if your lunch would be a handful of almonds and a fresh fruit, you would get your all your nutrition requirements in an ideal vehicle:
• Nuts don't need refrigeration (at least not in the short run) or re-warming
• Nuts contain all three major building blocks - proteins, carbohydrates and fats - mostly 'good' fats
• Nuts are full of minerals and vitamins
• Nuts are full of enzymes - and enzyme inhibitors.
They contain natural and essential phyto-nutrients, and we are just beginning to understand their importance for health.
How do the enzymes work in the nut? Nuts and seeds are carrying within them the ability with sprouting new life - all what they need is water. For creating new life, hundreds of actions to build future plant tissue are required. And for those actions to happen, the seed is packed with enzymes. But the actions should not happen prematurely, while the conditions are not right yet. To hinder too early action, nuts and seeds contain enzyme inhibitors.
The moment one adds water, one destroy the enzyme inhibitors - basically, the germinating starts. Soaking nuts and seeds in water over night also makes nuts more easily digestible.
Nuts might help weight loss.
Weight loss on nuts? Am I nuts?
Indeed, nuts and seeds can help lose weight - despite their infamous fats.
• Nuts need thorough chewing. And one reason of binge eating is that a gallon of ice cream, soda pops and donuts do not satisfy your jaws' desire to chew. There's nothing more satisfying than crunching your way through a handful of nuts.
• The high fat content of nuts and their enzyme inhibitors delay stomach emptying, making nuts last longer. In comparison, sugar and starches (which are nothing more than one sugar molecule after the other in a long chain) will be digested in seconds - and will you make crave more soon.
• Nuts quench cravings by offering many nutrients.
Quench cravings? How does it work?
If one eats a doughnut, one basically eats a ball of starch and sugar, baked in bad fats, coated and sprinkled with sugar. Its white flour is devoid of any of the bran, good oils, minerals and vitamins the wheat grain originally possessed - everything has been milled out. After one doughnut, your brain feels a wonderful rush of incoming brain fuel - sugar - and wants more of the same. So you eat another one. Your brain feels high, but your body screams for the rest of the stuff that used to come with sugar and fat: the minerals, the vitamins, the enzymes. Not knowing better what your body really wants, you grab a third doughnut. Read More