No Chubbies.

I'm watching Dr. Phil. The show today is the Ultimate Fat Debate. There is a guest named Michael Karolchyk, owner of the Anti-Gym who is wearing a shirt that says "No Chubbies". He is the perfect example of what I've found in most commercial gyms. If he thinks he is helping the obesity epidemic with that method he is wrong, however, watching his video I see no obese members of his program. This is what I've found in my quest for assistance with an exercise program, gyms and trainers are for skinny people.


First, most machines cannot accommodate obese (morbidly or super morbidly). Treadmills and elliptical machines do have weight limits, and weight machines don't allow room for big legs and bellies. I started my workouts at 500lbs in the water, my swimsuit didn't fit, but I wore shorts and t-shirt over it because I was determined to get in the pool. However, it can be difficult to find a pool with steps; obese people have a difficult time with pool ladders.

Second, personal trainers don't seem to want to help the obese. I did find Matt at the SOMC Life Center to be helpful, but that was a hospital based gym. At Bally's, LA Fitness, etc, they aren't interested in really helping. I sign up and show up; as soon as I mention I have a medical condition that might limit what I can lift I'm deemed "not willing to try". I do try, I never refused to do a workout, but I notice while I'm working out the trainer is looking at other chicks. I later find out he didn't have the machine seat level properly set for my height. I inquire about water workouts and I'm told "they are not a good workout". Never was asked for detailed medical information. While I was on an upper body weight machine he noticed the scars on my arms and asks "are those surgical scars?" Sure are...and even then he didn't ASK for any further information.

I just mentioned this to a friend last week. I would love to partner with a personal trainer/exercise physiologist and develop REAL workout program for someone with lymphedema/lipedema. I live in Miami; there are tons of trainers around here, anyone interested in the challenge?

Seven

I don’t really believe in luck, well I don’t believe I have any luck…except bad luck.


But if you asked me for a lucky number, I’m going to say 7. I just like that number. I’m #7 in my family, born in 1977.

Today I’m 7 years post-op RNY gastric bypass surgery and I am lucky to be alive.

I sometimes have to remind myself of that.

Yesterday, I found myself questioning if surgery was worth having. There I was once again having a diagnostic test, my 5th upper GI in 7 years, and I thought “is this what my future will be? How many tests will I need during my life to check for possible complications of surgery?” Then I went to an appointment with a friend who has lost over 150lbs on his own. The receptionist in the office asked him if he had “the surgery” and he replied, “No, my insurance wouldn’t cover it, so I did it the old fashioned way”. I razzed him a bit about saying that, but honestly it doesn’t bother me because everyone is different.

But it did make me think more about if having weight loss surgery was worth it. And the answer is had I not had surgery and lost the weight I did, when I did, I wouldn’t be here typing this right now. The mini-stroke I had in 2004 would have been a full blown stroke and I would have died in my small town hospital. I have many medical issues and only a few have been a result of surgery.

Trifecta

I had an Upper GI this morning and the preliminary findings were reflux, hiatal hernia, and Barrett's esophagus.

I'd first like to send a big THANK YOU to my insurance company who several years ago denied payment for Protonix which I had been on since 8 months after surgery, only stopping for h-pylori treatment and retesting. Continued taking the rest of the prescription, but upon refill was denied. Oh well, I felt o.k. until a year ago when I found myself popping Tums everyday. My PCP then gave me a sample of Nexium and it helped, so I was approved for a year of it via prescription. Well it doesn't completely work now...and now insurance company you have had to pay for an Upper GI and will be paying for an Endoscopy.

Bet that extra Protonix isn't looking so bad right now.

So because I like "the Google"....

Mayo Clinic recommends lifestyle changes for Barrett's esophagus:

• Maintain a healthy weight. Why can't I ever have a condition that says...gain weight???
• Eat smaller, more frequent meals. Yes, I find myself grazing all day to keep the burning in my throat to a mininum.
• Avoid tightfitting clothes. Woohoo...yoga pants per doctor's orders.
• Eliminate heartburn triggers. Caffeine...NOOOOO!!!!
• Avoid stooping or bending. Stooping? So no dropping it like it's hot?
• Don't lie down after eating. What about while eating...no more breakfast in bed. =(
• Raise the head of your bed. Already sleep on 3 pillows with the top one doubled over.
• Don't smoke. Other than being smokin' hot...this is not a problem.

In Search of Big Girl Panties

I guess I'm starting an "In Search Of" series. I found my Big Girl Bed....now on to underwear!

I know my mama told me to watch what I say on the internet, and perhaps talking about my underwear is over the TMI line, but I’m very upset about this and I know I am not the only one having this issue.


It seems like in the past couple years the quality of panties sold at Plus Size retailers like Lane Bryant and Avenue has greatly decreased. They might as well be selling disposable panties since some pairs have lasted only a couple wears.

I have several pairs of panties from Lane Bryant that I purchased in 2007. They are still in decent shape, just normal wear and stretch of the elastics. However, I noticed when they switched from “Buy 3 get 2 Free” to “5 for $25” they also changed manufacturers and the quality was very poor. At first I passed it off as just the new change, and at that time I did e-mail Lane Bryant and expressed my disappointment. I figured by this time, nearly 18 months since the change, things would be different.

But the quality still sucks.

I need new panties because I’ve gained weight. I bought a bigger size at Lane Bryant in January and as you can see in the picture, the leg band completely detached from the material!

When I went home in January I noticed a pair of LB panties I had bought my mom had the entire backside of the waistband detached from the fabric. I asked if those were an old pair or a pair I had just bought her in November. She replied they were a new pair and that the detachment occurred the second time she wore them. I brought them home with me and they are in my “bitch” pile. The pile now has 4 pair, this is after I tossed several pair. While I find it a bit embarrassing to take panties back to the store, I guess if I’m open enough to write about it on the internet I should be able to go talk to the store manager.

But it’s not just Lane Bryant.

I was talking to a friend and she mentioned she had gone shopping at Avenue and then she expressed her disappointment in the panties she recently purchased. She said the material is very thin and after few wears and washing they fall apart. I shared with her my experience with Lane Bryant.

It’s very disappointing that these stores cater to the Plus Size customer yet can’t seem to provide a product that can hold up to the plus size booty. And you all know we pay a lot more for our clothing, so this is wrong on so many levels. In additon, Charming Shoppes which owns Lane Bryant also owns the other Plus Size stores Fashion Bug and Catherines, and I'm sure the poor quality can be found in those stores.

So where is a big girl to get some decent panties?

Again, I've gained weight and need new panties. So as much as I didn’t want to do it, I bought a 5 pack of Just My Size panties at Wal-mart. I must admit JMS never let my 500lbs ass down. I strayed to Lane Bryant because I loved the cute colors and being able to match my bras with my panties. And at 500lbs I couldn’t fit into the largest size at Lane Bryant. But I can’t be tossing what is now “5 for $29” down the drain on panties that fall apart. A JMS 5-pack was $9.99 and they now do have a variety of colors and styles.

So who else has noticed the poor quality from Lane Bryant and Avenue? What are you wearing?

Click here to send a complaint to Lane Braynt.

Click here to send a complaint to Avenue.

Going Global

Remember when you wanted to go outside and play because being in the house was boring? Now, the idea of kids going for a bike ride or playing tag outside alone is too dangerous. However, I used to ride my bike, walk to school, and play tag (Ghost in the Graveyard) with a group of friends and I was still a fat kid. Note the article states the kids are less active, no where does it state there is also a rise in obesity...that would be interesting to see the correlation.

Nearly Third of Children Globally are Couch Potatoes - From Reuters
Reporting by Anne Harding, Editing by Belinda Goldsmith

American children aren't the only couch potatoes with nearly one third of children globally spending three hours a day or more watching TV or on computers, according to study of over 70,000 teens in 34 nations.


From Argentina to Zambia, Regina Guthold of the World Health Organization in Geneva and her colleagues found most children aren't getting enough exercise and it made no difference if they lived in a rich or a poor country.

"With regards to physical activity levels, we did not find much of a difference between poor and rich countries," Guthold told Reuters Health. "Growing up in a poor country does not necessarily mean that kids get more physical activity."

The study, published in The Journal of Pediatrics, looking at 72,845 schoolchildren aged 13 to 15 from North and South America, Asia, Europe, and the Middle East. The children were surveyed between 2003 and 2007.

The researchers defined adequate physical activity as at least an hour of exercise outside of gym class at least five days a week.

Children who spent three or more hours a day watching TV, playing computer games, or chatting with friends -- aside from time in school or time spent doing homework -- were classified as sedentary.

The researchers found only one quarter of the boys and 15 percent of the girls were getting enough exercise by these definitions.

A quarter of boys and nearly 30 percent of girls were sedentary and didn't get enough exercise with girls less active than boys in every country aside from Zambia.

Uruguay had the highest percentage of active boys, at 42 percent, while Zambia had the lowest, at 8 percent.

Girls from India were the most active, with 37 percent meeting exercise recommendations, while girls from Egypt were the least active, with just 4 percent getting adequate exercise.

Children in Myanmar were the least sedentary, with 13 percent of boys and 8 percent of girls classified as sedentary. The most sedentary nations were St. Lucia and the Cayman Islands, with 58 percent of boys and 64 percent of girls spending at least three hours a day in sedentary activities.

While the study didn't look at the reasons behind the lack of physical activity in various nations, Guthold speculated that urbanization could be a factor as well as access to cars and TVs.

She said schools can help children become more active by having physical education classes and educating students about the importance of exercise.

Adding lanes for bicycles, pedestrian crossings and other changes to promote walking and biking to and from school could help too, she added.

"Even with the limitations that questionnaire data (suffer) from, I guess it's pretty safe to say that we have a huge problem with physical inactivity among schoolchildren around the globe and that we should take action," said Guthold.

It's all relative.

It’s hard not to compare yourself to others, and yet we all know that no two people are the same. I had to remind myself of that while talking to my mom after her recent doctor visit. She was telling me that her various levels are good and that she lost a few pounds since her last visit…then she told me her weight.


Excuse me? What was that?

She repeated it.

OMG, I weigh 80lbs MORE than my mother. My mother who wears 2-3 sizes larger than I wear? The mother who was JUST complaining about a store having neither electric carts or shopping carts so she wasn’t able to shop that long because she needs to either site and ride or push and lean. Now this is the SAME mother who works 12 hours shifts as a nurse, so I’m in no way saying she is lazy. By all means she does what she needs to do no matter how difficult it is for her to physically do it…I am thankful for that trait.

My mother and I are about the same height, I might be an inch taller than her, and of course she is double my age so the years have taken their toll.

But 80lbs?

Where am I hiding it? Oh that’s right in my legs…while my mother does have signs of lymphedema; it’s nowhere near the extent to which I suffer. But still, this makes no sense to me…and it’s not so much the numbers. Nor, is it just my mother. I have read of other people who weigh even 100lbs or more less than me and wear larger sizes. I don’t wear my clothes tight. It just doesn’t make sense, but is an example of why we can’t compare ourselves to others.

Anyone having issues?

Last night I attended my first WLS Support Group meeting since 2006. I am seeing a new surgeon, my third since surgery, and he wanted me to attend his meetings to see if might help me. He had inquired about my support group attendance post-op during my initial appointment. I explained that the hospital where I had my WLS was two hours from where I lived at the time, and so I was only able to attend a couple meetings. I typically either had class, was in the hospital, or recovering from a hospitalization during that first year post-op.

Then I moved to Miami.

After finally getting the recommended surgeon to take me as a patient I was REQUIRED to attend a certain amount of “support meetings”. The requirement and lack of meeting structure lead to a room of new post-ops wanting to get their attendance paper signed and leave. There were no topics, no speakers…just a group of people and a psychologist asking “anyone having issues they would like to discuss?”

Either no one would reply, or the same question would be asked every month…by someone new “am I losing enough weight?”

To someone in my situation, the meetings were not worth the time. I got my support online at ObesityHelp.com. And honestly I did. Even when I attended the two meetings at my original hospital I felt out of place. First, I was usually the only one in attendance that had my surgeon, and second I was the only one who had such a large amount of weight to lose…this correlated with the surgeon issue since my surgeon typically operated on the “high risk” patients. And most people weighing over 500 pre-op have mobility issues, or in general don’t get “out and about” as often as I did. I’m not sure that is the exact reason, but from 3 different surgeon's support meetings at 2 different hospitals I have yet to find people who are in a situation similar to mine…even without the lymphedema and lipedema.

So back to last night…


My first issue was that the meeting was held in the same hospital where I admitted for my DVT, I have not set foot in that hospital since then. The parking garage to hospital entrance is a bit weird, and as I was following the path I had flashbacks to being in pain and near tears trying to “find the hospital” 6 years ago.

While waiting in line at the security desk I played “are they here for the meeting too?” I get my visitor sticker and head to the conference room. But first I stop and get a bottle of Diet Sunkist at the snack bar. It was the BBGC in me…and I was thirsty.

So I get to the conference room and sign-in. The group leader, the surgeon’s nutritionist, was getting out his recent delivery of calcium chews. I say “oh, I have those at home they are good. But I haven’t tried the raspberry.” He was very nice, and I was impressed that there were samples at the meeting. There was also FOOD. Cheese and fruit platter for the win. I had run an errand before the meeting and while I had eating a protein bar before leaving my house, a few hours had passed since.

I sit next to another lady and ask her when she had surgery. “5 weeks ago”

Oh no…here we go….or so I thought. To my surprise there were 2 other patients there who were 7 years post-op, like ME. Unlike me, both appeared to be at goal.

The topic for the evening was “how to read food labels”. I was the star pupil by knowing that serving size the most important piece of information on the label. Next he passed out samples of the calcium, raspberry is pretty tasty! Then he opened the floor to general discussion “anyone having issues?”

A new post-op is having issues tolerating food and wonders if she is losing weight fast enough.

I raise my hand, and say I’m having the opposite issue. I can tolerate everything and that after my initial 250lbs loss, I’ve started to regain. I also let the nutritionist know I had an appointment to see him next month.

I forget his response to my issue, I think because he was interrupted the male 7-year post-op patient who said. “You know what I’ve noticed is there a correlation between members who regain and members who don’t attend support group meetings.”

I guess it’s better than him calling me out for my Diet Sunkist.

Trying to not sound defensive, I said “I’ve noticed that many people in my situation are often too embarrassed to seek help from their surgeon or a support group.”

Then the nutritionist said, “O.k. are you all ready to go next door?”

Next door? Huh? Oh, the post-ops go over the pre-op seminar and answer questions. Nice.

Honestly, I didn’t mean to not go, I stopped to ask the nutritionist what he would like for me to bring to my appointment then once I got next door, I saw all the other post-ops on stage, announcing how long it had been since their surgery and how much they had lost. OMG I was definitely NOT going on stage, especially since I weighed MORE than many of the pre-op patients. And, of course, I had not had surgery with that doctor so I really shouldn’t appear to be one of his products.

So as I listened to everyone’s stats…the average amount lost was 130lbs. That’s how much I’ve lost, even with the regain; I’m still down 130lb from my highest….at 7 years out.