Friday, September 20, 2013

Minding the Morbidly Obese

"Hey, Big'un"
"The large man over there"
"He's sort of a heavy-set guy"

And there are other expressions that have been used in my presence that have been - shall we say - less than charitable. People who have always been thin won't understand the plight. So, let's lay it all out on the proverbial table - saying it aloud, the fact remains: I am morbidly obese.

Underweight, Normal Weight, Overweight and Obese

A person's BMI (body mass index) is a measure of the relationship between one's height and weight. The number calculated let's you know not only what physiological grouping you fall in; but, how far off the mark you are. Several countries (and organizations) have their own "scale" and "categories" to categorize our human physiology.

Most people with a "Normal" weight range have a BMI of 18.5 to 25 - in ascending order of "trouble", the subsequent categories are: "Overweight", "Obese - Class I", "Obese - Class II" and "Obese - Class III". Within the latter, there is a delineation of "Morbidly Obese" and "Super Obese".

Based on the one that is (or seems to be) recognized by most in the United States, back in July 2013 I was considered "Class III - Super Obese". This month (September 2013) I am considered "Class III - Morbidly Obese"... an improvement in my health, believe it or not.

Background

"When I was a child, I spoke like a child, I thought like a child, I reasoned like a child. When I became a man, I gave up childish ways." ~ 1Cr.13.11.esv

Based off the Apostle Paul's words, the axiom from the days of my youth might resemble...

"When I was a soldier, I worked like a soldier, I thought like a soldier, I ate like a soldier. When I became a civilian, I gave up eating like a civilian and kept eating like a soldier." ~ 1st Book of Opinions, Chapter Me, Verses No One

So, I was a skinny kid before I got into the Army, right? Pfft, bwa-ha-ha-haa! (Snort) Hilarious! No, I was (at best) merely "overweight".

In the Army, I stayed 15-20 pounds over my "table weight" and was subjected to 12 years of scrutiny by those in authority above me in feigned compassion why my weight wasn't within standards - despite the fact that I was performing 70-80% (above the 60% standard) in physical fitness.

But, after getting out of the Army, my weight "balooned" - it was chiefly my behaviors, and a minor portion was an injury. So, no excuses - I did this to myself.

Complications

Doctors can be the bane of our existance, can't they? Several I've had, in the past, qualified with no doubt. Although not Nutritionists or Registered Dieticians, most doctors have common sense enough to recognize overweight and obese patients. The linch-pin is treating said patients.

Most doctors treat overweight and obese patients much in the same way a typical school nurse would treat a child who is sneezing (not preventatively, but symptomatically)... hands a tissue, does not check for fever - for example.

I know what it's like to lead a complicated life - or should I say a "complication-filled" life. Not only am I obese (I know, big shocker - pun intended), I am Type II Diabetic, have Sleep Apnea, Edema and a Protruded Disk at L5/S1. Yeah, I wouldn't place any bets on me winning any type of contest where "speed and agility" are required. So...

One doctor will say, "You need to lose some weight." To which I'm often tempted to rebuff, "And you'll probably expect some payment after this office visit?"

Another doctor says, "Eat more green vegetables, breads and fruit." And the hyperactive mind is prepping a response, "Would you tell Tyranasaurus Rex to eat a vegetarian?"

An older doctor says, "Cut back on your sugar, drink plenty of water." And I do not say, "Darn, there goes my Lemonade Diet."

Better Approaches

So, after the end-of-July (2013) heart-to-heart with my doctor (who has the bedside manner of a bed pan), I resolve to be weak. Yes, weak. I cannot do this on my own, in my own strength, in my right mind, in a loving, don't-touch-my-chicken-that's-mine-and-you-can't-have-it kind of way. No sir.

I will be obedient to what I know I should be doing and leave the own-ness (the results) up to God. I ain't gonna get all mentally tied-up around the axle (telephone pole, take your pick) about 'how much I've lost this week', or 'how many inches did I drop'. No sir.

So, I got some Diabetes Education (half day, classroom setting) at hospital, spoke one-on-one with a Nutritionist, and bought a round 9" plate container for lunches. Using what I now knew (and purchased), I trekked out into the "Food Is Fuel" landscape with a new understanding of what my body was doing with the types of food I should be eating and when/how I should be eating it. Yes sir.

Results

Am I where I need to be? Nope, not even close; but, it's barely been 60 days.

The key is to keep plodding along, in obedience, and not get tied up in the ebb-and-flow that is either "pounds" or "inches". I stave off any urges to weigh myself (as some people do) daily and only do so once a week, when I use a seamstress tape to take an abdominal, chest and neck (girth) measure. I perform the latter just in case enough of my physiology changes in the course of one week where the numbers on the scale don't budge (i.e. losing fat, replacing with muscle netting a "zero" weight loss - and seeing a drop of 1.5 inches).

As in a Christian's walk (and testimony) fixating on how far we've come, versus how much farther one has to go will build our resolve in obedience and our reliance on His grace. MMLIA.

Thursday, September 5, 2013

Be Afraid, Be Very Afraid

Apologies, True Believers - my protracted respite lapsed a bit beyond the intent of reconciling my time to my energies... in other words, "I'm ba-ack!"


Fe-fi-fo-fum, I smell the blood of an Englishman
Be he live, or be he dead
I'll crush his bones to make my bread


Giants - shudders - the one thing that, as a child, freaked me out to no end. Sorta makes you hope the whole thing about the Nephilim (Gen.6.4; Num.13.33.esv) was blown a little outta proportion, eh?

So, fear's down the hall, moving towards the door - coming for you.

Checking under your bed, leaving the closet light on, putting away anything that reminds you of Pennywise the Clown deep into a drawer, burrowing beneath the pillows and blankets and any other stuffed animal so the Clown would eat them first... getting your brother to either sing a song or whistle so that it would preserve your own sense of safety (that way "IT" would eat him first).

Nevertheless, fear creeps in.

As children, our imaginations are laced with it (fear) - there's SO much we do not (yet, or ever?) understand. Our renderings of our fears become realized on television, in school and (sometimes) in our own homes. But, regardless of the bastions we build... fear is still there.

Then fear grows up.

As an adult - older, not necessarily wiser - our irrational childlike fears are explained away and more intense (or sublime) ones become entrenched in our day-to-day mantras. Some are as unfounded as the ones from our youth (or "utes" for "yoose guys" - ya' don' know? fahgedaboudit!). Others, albeit founded, are often blown out of proportion to our reality.

Fear wears a mask.

Fear spawns so many other emotions; and, as adults (snicker, snort), we let our fears dictate the type of person we are or are to be. It's the whole "cause-and-effect" model. Let me explain...

1) Fear that a person won't be loved could result in uncontrollable rage (anger), clingy-ness (jealousy), or low self-esteem (self-loathing).

2) Fear that a person might lose his/her job may result in the individual preferring isolation to (withdrawing from) the company of others, depression (sadness), or even lead them to manifest a false image of peace/hope (deceit or fooling one's self).

3) Fear of injury or illness would - in most cases - makes the following (more) evident: worry (anxiety), a feeling of weakness to help (helplessness), and a constant feeling of isolation (loneliness).

We don't have to be enslaved to fear (Rom.8.15.esv), to continue down that slippery slope like we have no choice - we do (sorry Calvinists). Fear does not come from God (2.Tim.1.7.esv) - fear is the absence of faith. Faith overcomes fear (Heb.11.1.esv), faith frees us to please God (Heb.11.6.esv). Remember it this way...

Folks found freed, finally find fear falls face-first for faith, for faith the Father fixed on followers of Christ forces fear to flee. MMLIA