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Problems with the health profession.

Old 09-04-08, 05:20 PM
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Problems with the health profession.

Am I the only one having problems with the medical profession? I have gone to several doctors and a nutritionist in an effort to lose weight and to obtain support with a few minor aches and pains. The majority of the responses I have received is "You need to lose weight." Well, I commute to work daily and I engage in longer rides on the weekends. The other response for these so call health professionals is you need to eat more fruit and veggies" I am a vegan. I am overweight, 220 pounds and 5'9 tall. It appears that the medical professionals that I have visited can not get past the initial appearance and do not stop to listen to my concerns. The majority of these health care workers do not even have a bike rack in front of their offices.

Thanks for allowing me to rant



Gas, .69 cents the price of a can of beans
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Old 09-04-08, 05:29 PM
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Originally Posted by urban rider View Post
Am I the only one having problems with the medical profession? I have gone to several doctors and a nutritionist in an effort to lose weight and to obtain support with a few minor aches and pains. The majority of the responses I have received is "You need to lose weight." Well, I commute to work daily and I engage in longer rides on the weekends. The other response for these so call health professionals is you need to eat more fruit and veggies" I am a vegan. I am overweight, 220 pounds and 5'9 tall. It appears that the medical professionals that I have visited can not get past the initial appearance and do not stop to listen to my concerns. The majority of these health care workers do not even have a bike rack in front of their offices.

Thanks for allowing me to rant



Gas, .69 cents the price of a can of beans
I am 5'9" and just over 200lbs. I was 234+ quite a bit about a year and half ago, I quit weighing myself at that point. Just ride, they are right, we need to lose weight. Just ride and do the best you can, at least your chlorestorol is not too high if you are a vegan. I used to triage in ER a lot, I put 99% of my decision on what I saw, the 1% was my gut feeling. Patients say all kinds of stuff. Hang in there.
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Old 09-04-08, 05:52 PM
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I am not a physician or dietician. Are you tracking your caloric intake fully? Are you tracking everything? I have found that I thought I was at 2000 calories, but I can tell you that after seriously tracking by actual measuring, I was almost at 3000 calories. I also know that I don't burn as many calories on a bike that I do running. Currently I have a severely screwed up foot, so I am swimming a mile a day. My heart rate does not get up high enought to keep burning calories like I do when I run or bike hard.

Just curious. I definitely can't fix anyone over the internet, but try to help. You can also ask other people to give you good references of a good dietician or physician.
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Old 09-04-08, 07:34 PM
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I'm not sure if my doctor has actually told me I need to lose weight. I mean, it'd be stating the obvious, so I don't feel neglected that he hasn't said it.

I think part of the problem is that doctors can tell you what to do but can't make you do it. "Eat less and exercise more" is what it's all going to boil down, maybe with some refinements. But they can't follow you around and watch what you do, and if nagging worked, we would have all been thin long ago.
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Old 09-04-08, 10:28 PM
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I'm not a Physician or a Dietitian but I am a Licensed Electrician so here's my recommendation. Tell your Doctor you have Attention Deficit Disorder and want a prescription for Adderall. Google "adderall weight loss". It's all the rage right now. You'll thank me later.
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Old 09-05-08, 02:43 AM
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Originally Posted by flip18436572 View Post
I am not a physician or dietician. Are you tracking your caloric intake fully? Are you tracking everything? I have found that I thought I was at 2000 calories, but I can tell you that after seriously tracking by actual measuring, I was almost at 3000 calories. I also know that I don't burn as many calories on a bike that I do running. Currently I have a severely screwed up foot, so I am swimming a mile a day. My heart rate does not get up high enought to keep burning calories like I do when I run or bike hard.

Just curious. I definitely can't fix anyone over the internet, but try to help. You can also ask other people to give you good references of a good dietician or physician.
2nd.

This is what I've come to as well, the only way to really get to it meticulous calorie tracking and being brutally honest with myself. I've been running more than cycling lately and using a online calorie tracking program to keep on top of my diet and it does seem to be working *very* well.

Biking has the advantage of being easier to keep up for longer, but I really don't have the motivation to kit up and drag my bike up and down the stairs for a sub 1-hour ride when I could do the same calorie-burning in 20 minutes on the sawdust track.

Keep in mind when talking to you physician that he, like police officers/firemen/EMT's has "seen it all" and probably thinks that at your relatively moderate overweight you should be able to take care of it yourself just following his basic advice of eating less and doing more.

I'm also a vegetarian, and to my surprise my intake was a lot higher than I thought. I'd easily slip way over 3000kcal/day just by not following the serving size recommendations.

I'm not trying to bash on you, a little strapped for time as I'm typing this just before running out the door for work.
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Old 09-05-08, 07:22 AM
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Originally Posted by urban rider View Post
Well, I commute to work daily and I engage in longer rides on the weekends. The other response for these so call health professionals is you need to eat more fruit and veggies" I am a vegan. I am overweight, 220 pounds and 5'9 tall. It appears that the medical professionals that I have visited can not get past the initial appearance and do not stop to listen to my concerns.
Are these doctors going over your medical history? There are certain things in your family background that should be warning signs (for example, heart disease and type II diabetes are sometimes related... I've got *both* in my background, so my doctor makes sure I get certain tests). And some medications have weight gain as a side effect. If they're prescribing one and then telling you to lose weight, that's pretty counterproductive. Also, some kinds of deficiency diseases have weight gain as a symptom. If you're vegan, they should be checking to make sure that this isn't an issue. (and yes, different bodies may need different quantities of a nutrient, so just getting the minimum might not be enough for your body)

If the doctor is just telling you to lose weight, and not looking at anything else, they're not doing their job.
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Old 09-05-08, 09:01 AM
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Weight training? I was riding quite a bit but my weight kept on going up for a while I hit 245 and decided that I wanted to make some changes before I hit 250. I started doing Crossfit at Crossfit Boston in November and have lost 40 pounds and put on a decent amount of muscle. Although I don't measure my meals I cut back on simple sugars (soda, juice, candy, desserts, etc...) and carbs to an extent. Plus I generally go for smaller portions now.

Minor aches and pains in my case were pretty ubiquitous when I started working out but are getting more minor, less frequent, and aren't bothering me for as long.

Doctors can help with some stuff but my experience has been that they're dismissive and not terribly helpful with keeping you healthy so much as dealing with the consequences when things go wrong.
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Old 09-05-08, 06:21 PM
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Thanks for the advice. I may be consuming more calories than I am aware of. I will examine my eating habits more closely. I know I will be drinking more water for a while. I have issued a health challenge to my co-workers during the month of September. I will also step up my weight training and bike rides.
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Old 09-05-08, 07:11 PM
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Some things are worse than other's

HI,
Many calories are quicker to stick than other's, most fast food is bad even small amounts cause its processed and overcooked.
Free roaming cattle are better than corn fed cattle when it comes to bad lipids.
eating a meal and going to bed can store more food than eating before a ride.
I find whole grain is healthy adn bleached wheat is very bad..
There is a condition that is fairly common its called metabolic disorder its caused by eating to much to frequently, once your out of wack you need to really lower the carbs and increase the protien.
It because your body can't handle carbs, you resist making insulin to lower the sugar. Thats why some people can gain weight on very little food, they are insulin resistant.
I have it too. it leads to Hypertension, and middle age diabetis. 80% of the over weight americans have this..
When your heavy your body will work againts weight loss, its sad how hard it can be to lose weight, all you can do is increase activity and decrease simple sugars and simple carbs. and after about 6 mos your metabolism may kick in to over drive.
Most med drs don't treat metabolic disease they just say stop eating, and that don't work you must change to a complex carb with higher protein less bad fats.
Good luck,
be carefull with statins I nearly lost the use of my Legs due to Zochor it can shut down your cq-10 production in your liver and this can have very negative effects nerves and muscle problems research in Canada says it happens about 20 % of the time not the lower 1% as advertised., my Dr was going to send me for a MS workup when I really have a medication problem...
DOug

This is an example of the condition. condition X , or metabolic disorder...

http://www.mendosa.com/ir.htm

It goes by many names but its mild latent obesitiy that doesn't respond to diet changes easily and leads to High cholesterol, high BP, and elevated glucose levels that are borderline 120 fasting glucose. when fastiing glucose should be 90...
Its take intervention exercise and a lot of time to reverse the effect of metabolic disorder. ever wonder why some people eat a lot of food and don't gain weight.

ps Iam 6 2" weigh around 255, have elevated Cholesterol, borderline gluc,elevated BP that has improved since biking. and need to lose 50+ pounds Its not easy.

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Old 09-05-08, 08:43 PM
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Originally Posted by urban rider View Post
Am I the only one having problems with the medical profession? I have gone to several doctors and a nutritionist in an effort to lose weight and to obtain support with a few minor aches and pains. The majority of the responses I have received is "You need to lose weight." Well, I commute to work daily and I engage in longer rides on the weekends...
Well, maybe if you'd get a little exercise... I'm totally kidding.

I know exactly what you mean. I don't know anybody who eats with more care than I do, and I get as much exercise as I can tolerate, but people look at you and make judgements, don't they?
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Old 09-06-08, 03:14 PM
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The other thing I forgot to mention. Why not find a reference for a Nurse Practitioner? They are not as well schooled as doctors, but they are very good people with a better background to help work through problems, where I doctor might go more towards medication, they might have you work with a dietician, or others to help you work out your difficulties.Just another idea.
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Old 09-06-08, 03:16 PM
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Originally Posted by flip18436572 View Post
The other thing I forgot to mention. Why not find a reference for a Nurse Practitioner? They are not as well schooled as doctors, but they are very good people with a better background to help work through problems, where I doctor might go more towards medication, they might have you work with a dietician, or others to help you work out your difficulties.Just another idea.
Nurse practitioners are more holistic, so the do make more referals to nutritionist and others. Good idea flip.
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Old 09-06-08, 03:21 PM
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Another way you might go would be a Naturopathic Physician.
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Old 09-06-08, 07:14 PM
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Originally Posted by urban rider View Post
Am I the only one having problems with the medical profession? I have gone to several doctors and a nutritionist in an effort to lose weight and to obtain support with a few minor aches and pains. The majority of the responses I have received is "You need to lose weight." Well, I commute to work daily and I engage in longer rides on the weekends. The other response for these so call health professionals is you need to eat more fruit and veggies" I am a vegan. I am overweight, 220 pounds and 5'9 tall. It appears that the medical professionals that I have visited can not get past the initial appearance and do not stop to listen to my concerns. The majority of these health care workers do not even have a bike rack in front of their offices.

Thanks for allowing me to rant



Gas, .69 cents the price of a can of beans
I'm half an inch taller than you, and 180 lbs heavier.

For what it's worth, I see you as being much healthier than me, and I will be very excited if I can get to 220lbs.
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Old 09-07-08, 08:08 PM
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Urban, how far are you commuting to work, and how long does it take to get there?

How far are you riding on weekends?

There are lots of databases on the innernetz that can help you track calorie intake. An example of one that I use is calorieking.com.

Have you calculated your BMR? If so, here's something you should consider when entering your body weight in the Harris-Benedict equation: fat burns a LOT less calories at rest than lean tissue. For people that have a lot of adipose and are 25% above their body weight, they should use a correction factor to get a more accurate calculation. If your interested, I'll post up how.
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Old 09-07-08, 09:55 PM
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Originally Posted by SeizeTech View Post
I'm half an inch taller than you, and 180 lbs heavier.

For what it's worth, I see you as being much healthier than me, and I will be very excited if I can get to 220lbs.
You won't be the only one. As a person who was once 400, or nearly, myself, I get excited seeing other folks lose the excess. Go Tyler go!
 
Old 09-07-08, 10:53 PM
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Originally Posted by The Historian View Post
You won't be the only one. As a person who was once 400, or nearly, myself, I get excited seeing other folks lose the excess. Go Tyler go!
Thanks, TH,

And, I just wanted to clarify that I wish Urban Rider the best results, too. In my effort to compliment him, I hope that I did not imply anything other than my best wishes for him.

Regards
Tyler
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Old 09-08-08, 07:47 AM
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I'm not a doctor, but I have played one on TV once. Now that I got that one out of the way, look for a new physician, preferably one that is younger, and specifically one that is board certified in sports medicine (a D.O. would be good as well). An internist is a great person to go to when you have a cold or the flu, but when you exercise a lot, you want to see someone who has a background in exercise.

Were I you, I would call the Sports Medicine/Athletic Training department at the college or university close to you and see who they use, and then call the office up and schedule an appointment. It might take you a little while to get in the first time, but you'll be better off in the long run.

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Old 09-08-08, 07:51 PM
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Check out sparkspeople. It's more than just a calorie counting site (and have a huge library for that) but a whole social networking for weight loss site. Lots of great recipes, fitness tracking, and a great overall philosophy towards 'diet.'

I don't mean this to sound sexist but is your nutritionist a woman? I have a few friends that work in the field and they actually told me this when I had frustrations with mine: most women who are nutritionists are usually eating disorder specialists and of that mostly serve anorexic & bulimic (take the biggest population, find the largest number of clients). They don't know how to approach overweight men - it's a different strategy and approach.
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Old 09-09-08, 09:07 PM
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Originally Posted by 1781ccT View Post
Urban, how far are you commuting to work, and how long does it take to get there?

How far are you riding on weekends?

There are lots of databases on the innernetz that can help you track calorie intake. An example of one that I use is calorieking.com.

Have you calculated your BMR? If so, here's something you should consider when entering your body weight in the Harris-Benedict equation: fat burns a LOT less calories at rest than lean tissue. For people that have a lot of adipose and are 25% above their body weight, they should use a correction factor to get a more accurate calculation. If your interested, I'll post up how.
Unfortunately, I only ride 10 mile RT daily. On the weekends I ride 20-25 miles per day. Recently I have had to drive the family car because DH had an operation and can not drive. I was using Fitday.com but the figures did not seem accurate. I don't eat at fast food resturants unless you count Thai/Chinese food. I am a vegan. My job is basically sedintary. This is the first year that I have had to stay close to home because of DH's operation and the cost of gas. My previous bike commutes were 17-18 miles one way. I will examine your suggestion.
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Old 09-09-08, 09:17 PM
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Since you commute to work, good for you! However, that's a short distance and with warm-ups, that doesn't count a lot towards weight reduction. If you have time, increase the distance on your way home.
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Old 09-10-08, 07:50 PM
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Urban, you are getting some exercise, but truthfully not a whole lot. The commute to work is tons better than driving, obviously. Big place where you can make a difference in activity is work, like finding reasons to walk around the office, walking during breaks, and perhaps find a quiet place to maybe do some calisthenics. I've got an office so I bust out a set of pushups after each patient I see and document on. My office is on the floor above where most of my patients are located, so I go see one person then come back and do my documentation (then pushups, chair dips, crunches), and then back down the stairs to see another person. There are a lot of ways to burn a few more calories.

Might want to look into whether the restaurant you are getting your Thai/Chinese food from is using oil of any kind...you can request very little or even no oil. You'd be surprised at oil content in Asian food.
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Old 09-11-08, 03:51 PM
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Originally Posted by 1781ccT View Post
Might want to look into whether the restaurant you are getting your Thai/Chinese food from is using oil of any kind...you can request very little or even no oil. You'd be surprised at oil content in Asian food.
THis is very true. They use a lot of oil, and they use what is the cheapest, which is usually the worst for you.
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