Week 33 Progress Report: Medical Matters and Not Too Much Information

So here are the weekly numbers, and we have a bit to talk about:

Starting Weight:	230.0
Original Target*:	243.2
Adjusted Target:	228.2
Actual Weight:	231.2
Loss/Gain:	+ 1.2
Total Loss:	71.4
% of Goal:	51.5%
Avg. Loss/Wk.:	– 2.2
*Original target calculated from a starting weight of 302.6 lbs. and an average loss/wk. of 1.8 lbs.

Thursday, I weighed in at 227.2, which took me past the 75-lb. loss mark. Yay me, right? Except that I noticed the right side of my face had swollen to the point that it was starting to creep into my visual range. I had had a little swelling for a few days, but I had thought it was an impacted sinus, which I’d had before. So I called Teladoc and paid $45 dollars for the doctor to tell me to go to the ER.

The ER doctor treated the swelling, which was cellulitis, as almost a side issue — he was much more concerned about the polyp in my right nostril which I’d had for several years. The doctor was concerned because my blood oxygen was down to 88%. So he ordered a CT scan and called in a local ENT to consult on the case. Turns out the polyp was only “benign” so far as cancer goes. Over the last 5½ years, it had been slowly growing inside my face. So the ENT ended up removing the mass in an endoscopic examination.

When I was discharged, my blood oxygen was at 98%, my BP at 112/72, and my pulse a slow but healthy 48 bpm. Amazing what having two working nostrils can do, huh? Ah, lovely oxygen! Two morals from this: 1) Never let financial concerns keep you from taking care of a health issue; and 2) No matter how smart you are — if you’re not a doctor, you shouldn’t try to guess which health issues are serious and which aren’t. Being smart is not the same thing as being wise.

While I was there, I began to notice that something else was wrong ….

Week 13 Progress Report: Settling Down for the Long Haul

I’m only a little overdue for the weekly report:

Starting Weight:	264.2
Original Target*:	279.2
Adjusted Target:	262.4
Actual Weight:	262.4
Loss/Gain:	– 1.8
Total Loss:	40.2
% of Goal:	29.0%
Avg. Loss/Wk.:	– 3.1
*Original target calculated from a starting weight of 302.6 lbs. and an average loss/wk. of 1.8 lbs.

It’s also past time for the monthly report, which is graphed in the upper left. On the monthly charts, the target weight is calculated from the first day of the month, while the master chart is calculated from the starting weight. Unlike last month, in which the “actual” line was far more often above the “target” line than below it, this month the “actual” was consistently below the “target”, though not always as far below it as I would have liked. This next month is already off to a rocky start, as I’m almost a pound over where I should be. However, since the target drops a little less than 0.3 lbs./day and my weight can fluctuate as much as 1 lb./day, I can get back on track pretty rapidly.

To date, I’ve lost 40 pounds in three months, or about 13.3 pounds a month. Not bad when you only plan to lose about 7.7 – 8 pounds a month. I now have about 98 pounds to lose in order to achieve a BMI of 24.9, which would be in the “healthy” range. However, as I’ve noted before, the rate has slowed down; I can’t plan on big drops now any more than I planned on the big drops in the first six weeks. This is where patience and determination have to take over and get me through the long haul because at just under 2 pounds a week, it’s going to take a bit more than a year to shed all that weight. Probably longer, because I fully expect the rate to slow more once I pass the halfway point.

And that’s not thinking about any plateaus.

Week 12 Progress Report: No Longer Morbid

First, apologies for missing Week 11; it was another hectic week. So let’s give the numbers for Week 12:

Starting Weight:	265.0
Original Target*:	281.0
Adjusted Target:	263.2
Actual Weight:	264.2
Loss/Gain:	– 0.8
Total Loss:	38.4
% of Goal:	27.7%
Avg. Loss/Wk.:	– 3.2
*Original target calculated from a starting weight of 302.6 lbs. and an average loss/wk. of 1.8 lbs.

It was a weird week. There were no days of egregious overeating; yet for a few days, I was going backward, gaining about half a pound a day. Contrast this with Monday, when I blew the calorie budget out of the water with a slice of a humongous deep-dish Dutch apple pie baked by a local chain called Emporium Pies and named “Lord of the Pies”, yet managed to lose a pound. (To account for this on Lose It!, I counted it as two slices of an ordinary Dutch apple pie — it really is that big!) As I’ve said before, we who count calories work with all sorts of uncertain numbers, so there’s nothing for it but to trust the process.

But even more pleasing than having lost the pound after the Epicurean delight of the pie was stepping on the scale this morning: 262.4! In two days, not only have I lost almost 2 pounds, but I had also achieved the first of my secondary goals — a BMI of 39.9, which takes me out of the “morbidly obese” category. I still have 66 pounds (plus or minus) to go before I’m merely overweight, but I’m about 38% of the way there. It also means I’ve lost just over 40 pounds in less than three months, which is a significant accomplishment.

Week 7 Progress Report: “Cutting Calories Doesn’t Work!”

Image source: lapbandsurgery.com.

Start Weight:		276.0
Original Target*:		290.0
Adjusted Target:		274.2
Actual Weight:		274.2
Loss/Gain:		– 1.8
Total Loss:		– 28.4
% of Goal:		20.5%
Avg. Loss/Wk.:		– 4.1
	*Original target calculated from a starting weight of 302.6 lbs. and an average loss/wk. of 1.8 lbs.

Compared with previous weeks, 1.8 pounds doesn’t look so dramatic. However, if you look at the bottom of the progress table, you’ll see that 1.8 pounds a week is exactly what I’d hoped and planned to lose from the beginning.

When my article on the deadly sin of Gluttony published on Catholic Stand, the first commenter argued that diets which depend simply on cutting calories are doomed to fail. Why? Because of hunger! Sooner or later, the hunger drives the dieter to overeat, and before you know it, they’re right back where they started! “Why don’t you see reunions on The Biggest Loser?” he asked rhetorically. Because just cutting calories doesn’t work.

Well, yes and no. Many people, when cutting calories, set a drastically low calorie target. For example, one friend of mine decided that she would not only start running again but eat no more than 500 kcal/day. Of course, hunger defeated her, despite her being a very strong-minded woman. The calorie target was much too low!