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Eclectica on the Way to Skinny

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Happy Sigh

On Friday, November 15th, I competed in my first ever race. I ran the 5K relay of The Flying Start Sprint Triathlon. My finish time was 28:04. This compared to when I ran 5K for the first time in the Maldives, completing the Couch-to-5K training plan (app available through Apple & Android). Then, I rejoiced in a finishing time of 38:00.

When I started this journey to optimum health, my commitment was to exercise three times per week, get my weight into a healthy range, and find a way to change my thinking and lifetime habits so that I stayed healthy. In the end, that plan included the gastric sleeve, taking up running, and ultimately, learning to be militant and unapologetic for putting my health and self care before anyone else's needs. Something I've never been very good at doing.

This time, with my 50th birthday looming, when people asked for some of my time, I checked my workout schedule. When people wanted to meet me for business, I suggested non-food venues. If I got too busy for self care every week, I ruthlessly cut out work stuff until I did have time for myself. I've read over 100 books, been to the spa nearly every week, and managed to get my hair cut every four weeks - for the first time in my adult life.

All of which is good.

But let me tell you - it was MUCH easier to change my physical habits than my mental habits. I have spent the last 18 months fighting a mental battle that at times left me feeling weak and sick. The relentless, repetitive litany of random crap in my head, all of it negative, all of it self-critical, and all of it FALSE, made me tired. There were times that I just wanted to lie down and cover my head with a pillow. I'd wake up in the morning thinking about a scheduled run, and immediately the crap would start. An endless, inescapable demand to justify myself and really, my existence. At least it felt like it. The old caustic, hurtful tapes played over and over and over and I experienced how difficult it is to switch it off. I felt more exhausted from the mental chaos than I did from the workouts.

But I learned a few things along the way, and having just completed what feels like an incredible milestone to me, I reflected on that learning. No matter what confused, chaotic, caustic, or nasty things were happening in my head, compelling myself to physical action always made it better, and sometimes, quieted my mind completely. It is always possible to take action even when the noise in my head is deafening. It is not my brain that I need to run, it's my legs, my arms, my breath. My head just happens to come along for the ride. In other words, giving in to the head noise as if it controls my physical existence is a huge tactical error in the war with negativity. NOT going and doing the workout or self care or planned activity made the mental chaos that much louder the next time, plus the added emotional factors of disappointment and guilt. The more attention I paid to 'fighting' the thoughts, the more fighting I had to do. I gradually learned that the less importance I placed on the thoughts I didn't want, the less they bothered me. After awhile, they weren't loud enough to interrupt my thinking, and now, sometimes, they're completely absent. It gets better. The more consistent I was in following my plan of action combined with ignoring the noise in my head, the easier it got. There's no substitute for the incredible sense of satisfaction that comes from accomplishing something difficult. When I look back at the past almost 18 years since I was diagnosed with Multiple Sclerosis, it's been a journey I couldn't have planned with a road map and detailed instructions. And what a trip it's been. From being fit to the uncertainty of ill health, to a wheel chair, to 'starting over,' to the Middle East, through obesity and back, to a triathlon.

Wow and wow. I have a huge sense of thankfulness for the things this journey has already taught me, and I anticipate there is more to learn.

Bring it on.


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Today's THE Day.

When I started this journey, my ultimate goal was to be in the best shape I could be by the time I turned 50.   Today is that day. :wub:   Tangibly, I hardly resemble the person who started this journey. People who have not seen me in awhile regularly walk right past, not recognising me. This has on occasions been very funny, and on others, not so nice as people have reacted in ways that are surprisingly negative. One thing that has come up more than once is the immediate assumption that I've been very ill, or worse, that I've got something terminal. I've chosen not to talk about having surgery for a variety of reasons, and my stock answer to "What have you done?!" has become, "I eat a lot less and exercise a lot more."   Intangibly, I know myself to be in a very different space internally than I was a year ago. Having the surgery did not change some of the serious issues that come with having gained so much weight and those don't go away with the weight. I've had to work hard to reprogram the default software. Old habits die very hard, and when mindlessness returns as a result of stress, or life events, the response is destructive. I've been five weeks at the same weight, but a week of no exercise and mindless grazing caused a small weight gain... panic!! It was a short, sharp, and needful lesson on the need for me to continue to care for ME. No matter how stressful work gets, or what life events happen, if I don't choose to take care of myself no matter what, all this work will be for nothing.   Not gonna let that happen. Did some serious self care, bought a treadmill so I could run again (it's too hot outside) and went through my journal of the past year, reminding myself of the affirmations I'd found helpful, of the progress I'd made, and of the reasons I have made this choice.   So, today I celebrate 50 years... losing 86 pounds... ...regularly running 7K ...biking 20K with my husband 2 - 3 x week, and being pronounced "completely healthy" by my GP. Yay me.   If you're still working at your goals, keep on. Gather up the support you need whenever you need it, and don't give up. Celebrate the little milestones (I found Bling is perfect for celebrating every 10 pounds lost ) and ruthlessly prune your closet as you shrink out of clothes. Think in possibilities and make plans for a future that is different than your present.   I know I need goals, and I plan to run a 10K race with my daughter in August. But first, I'm going to go river rafting in Bosnia to mark the achievements of the past year.   Hopefully, I won't drown.

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What A Sucky Week

This has been a crappy week. HWHN got the results back from his bloodwork, and he's waaaaaaay high risk for a "coronary incident." We really weren't expecting this news as he's not overweight, he leads a fairly healthy lifestyle, and he exercises most days. It turns out he's got a family history that adds risk factors, he spent 10 years on anti-inflammatories (apparently very bad for you) and he smoked in his 20s. His cholesterol panel is frightening. The doctor here had already given him Lipitor before he got the results, but HWHN has decided not to take it yet. He's very unhappy about the side effects. We did some research, and the Mayo Clinic has an excellent plan for reducing LDL and increasing HDL, so we're trying it. Anyway, it was a bit shocking.   The Internet has been very intermittent because it's Ramadan, and so I've not been able to lurk, never mind post on my favorite forums. It feels like I've been cut off from the world. Which normally wouldn't matter, except our daughter was trying to reach us because our grandsons (5 & 3) were in a car accident with their father, who had been drinking. Argh!!!!! They are okay, but our daughter could have used some support and her father's calm and gentle wisdom before she tackled the issue with her ex-husband.   I have been doing really well since the shocking revelation that I was deceiving myself so badly, but two days ago I vomited again after weeks of being okay. I guess I'm in need of a Wahmbulance. *sigh* It doesn't help that being Ramadan, there is nothing to do until after 8 pm. Well, maybe we could drive around in the 52° sunshine... which today is slightly obscured by the dust in the air thanks to the hot wind.   One more indignity. My hair is seriously falling out so I took a pic of the hairstyle I wanted to the hairdresser who did a beautiful job except I didn't turn into Jamie Lee Curtis. Damn.   Holy cow. I am seriously in need of a G&T. ;D

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Epic Fail

When Alex suggested members take a three day challenge by tracking every little thing they eat or drink, I thought, "Sure. Why not?"   I figured that I'd just be writing down what I was tracking in my head, so no big deal, and I could not only say I read the <i>whole</i> newsletter, but I actually took action. So I attached a sharpened pencil to my daytimer and commenced to keep track of everything I put in my mouth.     As I looked over my lists last night, I admit I was very close to tears. I would say that the past three days have been pretty typical for me - nothing really out of the ordinary that I could say messed up or changed my regular habits. So no excuse there.   I cringe to write this. Over three days, I drank a <i>total</i> of 102 ounces of liquid, consumed +/- 950 calories, and had ZERO protein. I hope y'all were sitting down for this. I swooned myself. How could I, by any stretch of the imagination, call this healthy eating? Ick.   Alex's challenge (and the outcome) brought to mind an experience I had working with a nutritionist for the benefit of a mutual client. One day while we were discussing ways in which to re-connect this starving girl to reality, the nutritionist said, "I've found that anyone who has problems with food has an almost infinite capacity for self-deception."   Ouch.   I'm certainly confronted with my capacity for self-deception. How did I ever morph the reality of that list into something different in my head? I was pretty confident I was keeping track... accurately. Of course, I filed away the decision to "...have more protein tomorrow" in the back my mind. Under a pile of other **** and covered with a mental wet-wool-blanket. Seeing in writing that I'd done that for three days in a row kind of puts my stated commitment to "get healthy" in jeopardy. And, as I am wont to tell my clients, "When the words and the actions don't match, you always go with the actions. They tell the truth."   Ouch. Ouch. Ouch.   So, this morning, HWHN and I had a long discussion about what it really means to change our lifestyle. As it happens, he's just had his first complete physical in five years (I see all the women roll their eyes and the men shrug) and it turns out he's great except he's pushing the envelope for cholesterol. Ah. This requires a lifestyle change for him too. No more chocolate (he's the chocoholic) and no more cheeseburgers stuffed with deep-fried onion rings. (Fortunately, HWHN is not overweight, but apparently his arteries are protesting.)   The 'lifestyle change' discussion precipitated a general discussion about our life, and we've decided to make some other changes as well. We've done this before, he and I - we know we can do it again. Changing our lives the first time meant I beat off the MS and got out of a wheelchair, and "flipping over the Monopoly board" again brought us out of the cold of the Great White Up to SandyTown and changed the course of HWHN's genetically-inherited arthritis. We can do this again.   So an "epic fail" has caused us to take stock of what we're actually doing. Not just what we <i>think</i> we're doing. No. Really doing. And we're not doing so hot on the whole self-care thing. But, that's about to change. It's already begun. HWHN wants to avoid having to take Lipitor with all its attendant side-effects, and I'd like to get out of starvation mode, continue losing weight and keep at least a little bit of hair.   Here's to Alex - thanks for the newsletter, the challenge, and the opportunity to really confront the self-deception that "...doth so easily beset us all."

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Of Wigs And Winning

I am a closet fan of wigs. Hats, too. Those groovy little Fascinators that all the hoity-toity chic people are wearing are gorgeous and I aim to have one. Of course, I don't want to have just any old Fascinator. I want to buy it in London, myself, so I'll just have to wait until I go there. Hopefully in the fall.   In the meantime, my hair is falling out. I was hoping this wouldn't happen, but clearly "hoping" and "reality" are not necessarily acquainted. Damn. (I'm experimenting with swears. On my last post, a tiny little swear was neatly replaced with stars. Checking to see if it happens again ) I have no magic wand, or as Lily Tomlin says in The Kid, "I left my magic bra and panties at home." (If you've never seen The Kid, you might want to rectify that oversight forthwith). So. No Fairy Godmother, no magic wand, no superpowers, and no reprieve. What to do?   Growing up on a farm in Northern Canada, I and my siblings were always pretending to be someone we thought far more glamorous or exciting than we happened to be. Since we didn't' have a TV, all of our pretensions to greatness came out of the books my mother read to us. Thus any given play day could include incarnations of Long John Silver, Anne of Green Gables, or Alec from The Black Stallion. My smallest brother generally ran around after the rest of us furiously demanding that we "wait up," and quite unable to manage staying in character with such short legs. This was not the best part. That was always the dress up box. One could not be Athos, Aramis, or Porthos in chore clothes. Most certainly not. And only D'Artagnan could wear the straw hat skewered with a chicken feather that magically transformed whoever grabbed it into the greatest of all the Musketeers.   In this box were three wigs. I'm not quite sure of the provenance of these treasures, but I never saw any fleas or nits, so I'm assuming they were donated by good families - probably my mother's long-suffering friends who did not live in the rural wilds and so had no clue as to why she (my mother) could be so very strange, wanting their cast off hair pieces. The wigs were perfect. Suddenly, any one of us could be someone completely different without straining the collective imaginations of our siblings. My rather handsome brother gave a speech once (he stole it from Sir Winston Churchill) wearing his idea of an English gentleman's proper attire and a scruffy brown wig. He was so good (and funny) that we didn't have the heart to tell him that Sir Winston was bulldog ugly and bald. (This all occurred after mom read us a book about WWII which included the British Prime Minister. When years later, my brother finally saw a picture of Sir Winston, he laughed so hard he couldn't tell us why he was laughing.)   Back to the wigs. I've always had long hair. Sometimes really long hair, so the wigs would never fit quite right. My cruel and ruthless siblings would inform me that all that hair, piled up under the wig caused me to look deformed in ways which "...make you look retarded." Whereupon one or another of them would demand that I give the wig up and choose some other way of getting myself into character for the forthcoming play. I usually did this without a fight because I did not like the idea of having a lumpy head - no matter what the reason. Those three wigs eventually disintegrated, and by then, we were all way past the stage of dressing up to amuse ourselves on a Saturday morning.   I find myself contemplating the wigs in the windows in the 'Hairdressers' Souq' as HWHN* calls it. These are all little stores in the same area which sell all the same things. Everything one could possibly need for a hairdressing salon. In Canada, you'd have to have a trade license to buy most of this stuff, but not here. These wigs are typical of this region. Flamboyant, long, and thick. Currently, my own hair is very short, mostly gray, and getting thinner by the day. I expect that shortly, I may be drooling outside the windows as I gaze at those wigs. But... I am remembering how I always had to give up the wigs from the dress up box, and I have decided that if it comes to that, I am going to have the blonde wig, the brown highlighted wig, and the black wig. I have no hair to make my head lumpy, and I think even all these years later, if I put on a wig, I'm going to be somebody else for awhile.   Given my weight loss, and the latest book that I read, I think I might become Amanda from The Bone Collector. Of course, to be truly authentic, the wig will have to be red and curly ...but I could live with that.   Here's to great moms, awesome siblings, good books, and endless imagination. Maybe losing my hair won't be so bad.   CE   *HWHN = He Who Hates to be Named; my wonderful, introvert husband.

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Dissing The Witch

I'm back to using the Kinect to exercise. My husband (He Who Hates to be Named = HWHN) got it for me over a year ago after a party at a friend's house where they introduced us to Group Kinect. We had a blast competing to pop bubbles and other silly stuff. At that time, he wondered if I'd like the Dance Central game. He thought he'd get one of the exercise/gym games. Anyway, we did, and I stuck with it long enough to learn the dance routines to "Pokerface" and "Funky Town." HWHN had me try the exercise game a few times, but in truth, my knees couldn't take it, and with the extra weight, the fatigue factor from the MS just did me in.   The routines are actually not bad, and HWHN had chosen a "coach" that was young, female, and curvy. I teased him about it, but he said he thought it would be easier to deal with a woman telling him what to do, since he's had lots of practice. (I threw a pillow a him) Anyway, it was only about six games later that he's yelling at the avatar. She even had the audacity at one point to refer to his performance in light of his age. I fell about laughing, and he said bad words. The next time he did the game, he called her The Witch. It stuck.   Eventually, discouragement and fatigue caused me to stop doing Kinect at all, and HWHN went on to other things like online racing.   Yesterday, we got out the Kinect again, and did the new adventure game we bought. It was great. We can play at the same time, and I am much lighter and in better shape generally, the MS being in remission. I remembered that the original exercise game had some good floor workouts, and one section that focused on abs, so I got it out again. Oh boy. After three sets, I wanted to commit acts of graphic violence on The Witch's person. Her perky, smug voice (enclosed in an impossibly perfect figure) says, "That's not quite what we were aiming for. How about if we take a break and try again? You can certainly do better." HWHN said more naughty words.   Argh!!! How totally aggravating. "This is not quite what we were aiming for?" How does she know? And, there's no way for the avatar to understand the actual situation, so she can't adjust how she offers encouragement or support. I know enough about technology to do the things I need to do, but what I know about the Kinect and its controllers is confined to inserting and ejecting the disks, and waving my hand to get the program started. But I was determined to do something about The Witch, so I fiddled until I figured out how to change her.   Next time HWHN goes to do his gym workout, he'll find The Witch has been transformed into a middle-aged man who looks suspiciously like himself... gray hair and beard included. Since I've already tried him out, I know that he says completely different things for encouragement, and he seems all enthusiastic that I'm even there, at nearly 50 years old, trying to get into shape. The perky little Witch is perfect for... oh, say, perky little witches.   And that would not be me.

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Amusing Myself

This morning while spinning away my 30 minutes on the stationary cycle (I hate this form of exercise ) I was cruising the TED talk forum again, and came across this talk. This guy (Jared Ficklin) is a serious geek. I mean really. But, he's also fascinating enough to while away 10 minutes of my stupid peddling. This is the real gauge of any of the TED talks I watch. If the one I'm watching is fascinating enough to make me forget I'm sitting on a cross between an elliptical trainer and a stationary bicycle, it's a five-star in my estimation. (I'm not sure how others rate the videos, but I suspect they use a slightly different measuring stick.)   The comments after each video are interesting as well. There's always someone who criticizes, someone who wonders what the point of this talk is, and someone who believes that the speaker needs personal defending. Sometimes the comments will keep me peddling mindlessly for a few extra minutes after the video is finished. When the TED email comes out each week, sometimes it's a total bust. Everybody is boring or a horrible public speaker, or the subject is so mundane or esoteric I can't get into it. In that case, I go to TED.com and choose "Inspire Me" and ask for videos about the length of the time I need to cycle. So far, this random picking has worked out pretty well.   So while I'm exercising, I'm getting smarter - I can feel it. Just hearing all these talks by geeky, brilliant, quirky, famous, or creative people adds brain cells and grows my brain. (Did you know there's a great Ted talk by Thandie Newton?) So the whole process has been part of changing my lifestyle. I need to exercise... no, I choose to exercise, but I have to do something that will increase the likelihood that this is a sustainable behaviour change. I'm not going to run out and buy a treadmill (my preference over the wretched peddling) until I know the habit of exercise is a part of my new life. So I am making do. And I do that by watching TED talks.   Who knows? Maybe my IQ will go up as my weight goes down. Wouldn't that be something?

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Spizz-Me Ups

I am very bad at self-care. Considering what I do, it's a bit like the old adage, "The cobbler's children have no shoes." Or, if I were being less nice, I'd say I'm probably hypocrite material.   Not liking this aspect of myself very much.   I recently signed up for SuperBetter, a groovy little app I learned about from Jane McGonigal's TED talk. I've determined I will invest in the "quest" for better health, and so I've made myself check in with SB every day.   Today's spizzy little blurb was about emotional health and mental resilience. I sighed out loud at the instructions, but decided I might as well "get it over with." I shut my office door, switched my iPhone to music, and put my feet up to listen to music for 10 minutes as per instructed.   The music app is on "Shuffle" so instead of fiddling, just listened to the first four songs on tap. The play list ended up being   1) All I have to do is Dream (Roy Orbison original) 2) All My Life (Hot & Wet), 3) All the Glory/And He Shall Reign (Graham Kendrick) & 4) Always (Bon Jovi).   My 10 minutes are over, and I am having mixed feelings about this. The break was truly rejuvenating, and I feel like I have a few more brain cells operating. But I also feel a bit ashamed that something so simple can make me feel better, and I just don't it. Everything and everyone else comes before me and what I might need at the moment. I seem to be primarily controlled by the tyranny of someone else's agenda.   That soooooo sucks!   I think I'm going to take a couple of behaviour experiments I give my clients and practice them myself. Starting with looking myself in the eye in the mirror and practicing saying, "I'm afraid I won't be able to help with that project this week or next, but I could look at how I might help the first week of August." (I'm falling about laughing as I think about actually saying something like that to any of my staff or colleagues. They'd pass out.)   Stay tuned.

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Ow! Ow! Ow!

I'm back to exercising. Feels amazing.   Prior to being diagnosed with MS (in the year from hell) my formerly active life was whittled away to almost nothing. Some days, it was amazing I could walk around my house, never mind do anything else. Given that I used to weight train daily, and had begun to rack up miles of race walking (daughters and husband biked or rollerbladed), the slow slide into inactivity really, really sucked.   I grew up on a farm ("The Money Pit" as my father called it), working with horses and doing daily chores including milking cows & goats, feeding chickens, and managing my several breeding hundred rabbits. Physical activity (and health) were taken for granted. Grew up, married, had my girls, and just went on living. Married a city slicker, so the horses had to go, but otherwise, I didn't mind the changes.   The year I turned 33 started out well, with a family resolution to get physically fit. My girls were 13, 12, & 11. We planned our 'Get Fit' campaign and got to work. In the small town in which we lived the local gym was owned by a couple who were competitive body builders, so the facility was awesome. As a part of their business, they both offered personal training, so we took advantage of that, and started working out on a schedule. Eventually, they gave us the code to the gym and we could use it 24/7 which was convenient for us as my husband was on shift work. By about June, we were all pretty pleased with ourselves and our new level of fitness, and we looked forward to the workouts and our nightly walks as a family.   In July, we decided to try rollerblading, and I got a new pair for the first time out. But I could only go to the end of the block. My legs felt soooo heavy, and I was having trouble with my balance. My right foot was dragging, and the girls were teasing me about walking like a drunk. Then I developed a black 'hole' in the vision in my left eye. Yikes! That made me go to the doctor. Hell compressed into a sentence - after months of tests and assessments, I was diagnosed with MS in December 1996.   So. No exercise. Fatigue, staggering, dropping things, slurred words. Some good days, lots of bad days. Weight gain. Lots of it. Ugh.   I was in a very stressful job, and the specialist told me, "Change careers, de-stress your life, and get rid of some responsibility or you'll slide into a wheelchair and stay there." (I was already using a walker) So, I did exactly that. Changed careers, changed cities, and dumped responsiblity. Got out of the wheelchair, and began to make serious health-related changes. All of which helped me to feel better, but did nothing to dislodge the 80 pounds I'd gained in 1996.   Fast forward 16 years. I had given up on losing the weight until the idea of VSG came up with the doctor here. I took the time to do the research, met with the doctor, and decided to go ahead. Sleeved April 4, 2012. Last check up I'd lost 44 pounds. Three days ago I started exercising again. Really exercising. It feels soooooooo good! My muscles are sore, my legs protest as I stand up, and I love it. I have to be mindful of the MS, but I'm remembering what it feels like to have gotten sweaty/hot enough to produce natural endorphins. *baskinginthehappiness* :wub: I certainly can't do what I used to do, but who cares? I'm doing something I haven't been able to do for years.   After I was diagnosed with MS I wanted to do a half marathon for the MS Society in Canada, but I couldn't manage the fatigue and the extra weight. Now, I've learned how to manage myself with regards to the MS, and I'm losing the weight... which is making a big dent in the level of fatigue I have to deal with, and I have waaaaaaaaaay more energy. Maybe... just maybe, I'll be able to get to the point where I can do that half marathon. Wouldn't that be something?   For now, I need to stand up and get some work done. Ow! Ow! Ow!

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Superbetter

Thanks to TED Talks (www.TED.com) I was introduced to an app that is the buzz of the self-help world.   "SuperBetter" (available through App Store) is a small app set up as a quest/challenge game for people looking to change some aspect of their lives. The TED talk by Jane McGonigal is worth watching. It seems like a simple concept, but it's also true that as busy human beings we no longer take the time to do the small things that add up to better health, greater wisdom, more leisure, etc.   In my case, using the language of SuperBetter (which is free for a limited time), my ultimate Bad Guy is "Time Tyrant." I have convinced myself, and truly believe, that I don't have time for these things. It's twenty seconds I could be doing something productive rather than choosing to take my eyes off my computer screen to look at something restful for twenty seconds. I don't have time to do three minutes worth of isometric exercises at my desk - I could write a letter or email in that three minutes and cross another task off my endless "To Do" list. I know the most help I need is to change my perspective about caring for myself. This certainly seems to be hallmark of my generation, and I know it needs to be different. This morning on FB a friend had posted a wall pic that was so appropriate and I repeat it here because it's certainly something I need to remember.   Make sure Before you say "Yes" To someone else, It doesn't mean You're saying "No" To yourself.   I've been using SB for four days having decided that I clearly cannot manage my habit of not caring for myself on my own, so I might as well give this app a shot.   Unexpectedly, I find myself checking in willingly. The app is structured as a Quest, and in order to unlock the clues/next level, you have to complete challenges. I am nothing, if not competitive. But this competition is with no one other than myself. And I chose the challenge. I further guaranteed that I would check in regularly by inviting my husband to be an Ally in SB. As an Ally, he knows which challenges I've completed, which levels I'm stuck on, and he can add challenges or quests to my game which are in keeping with the goal I've set for myself. (To have completely changed my lifestyle by the time I turn 50). Since I am also his Ally on SB for his challenge, we support and encourage each other. You choose the challenge yourself. Each level has a range of choices, and at every possible juncture one can access a short helpful video about the quest they've chosen. There's a "Science Behind..." section that allows you to know and understand why the things you're doing are good for you, and you receive encouragement and reminders by email.   I'm impressed, and I didn't expect to be.

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The "perfect" Patient

Fourth doctor's visit last night. I'm down to 178, and it's the first time I've been below 180 for about 15 years. A loss of 11 pounds. Doctor tells me from now on, it should be two pounds a week as I eat more "real" foods. Okay by me.   Anyway, he quizzed me about the meds which I've taken faithfully. (I also did the Heparin shots on myself at home for 10 days after surgery - an action that tore a whole in the Ozone over here because in this culture, they hire a nurse to give insulin shots! ) I'd had blood tests after the last checkup, and the doctor gave me a copy "for your records" (like THAT would ever happen in Canada) and we went over the numbers together. And how lovely they were. Upshot is that I can stop taking the iron tablets (yeah!!!), don't need to take calcium separately anymore, and I can stop the nightly Pariet. If I have occasional heartburn, I can do like everyone else and eat an antacid. All my left with is the Centrum multivitamin. No biggie.   I had a few questions about my hair loss which is becoming more obvious, and he confirmed the research I've done. The hair loss is in fact the result of the surgery and the wls. Ensuring I get enough protein is to prevent Ketosis and to ensure I lose fat, not muscle mass. The side-effect of enough protein is that the hair loss lasts for a shorter period and the regrowth starts sooner.   After we were done, the doctor told me I didn't need to see him for two months, and that he wished all his patients were like me. He talked a bit about compliance - how difficult it is in this culture to ensure his patients do as they need to do for optimum health. (Think the insulin thing) There is no psychological assessment here prior to surgery, and no one is turned away except for grave medical risk. He told me that the consequence of that is the majority of his patients lose the weight but end up with severe nutritional deficiencies which have a life long impact on their quality of life. Yikes. He ended by telling me that I've been the perfect patient and he wished he had the opportunity to work with more expats. A nice little bit of validation, considering that I'm pretty forthright and demanding in my encounters with the medical profession, having been a patient advocate for years. My husband insists I'm the worst patient EVER, and sometimes I agree with him. But in this case, it's all good.   So I'm basking in the happiness of being "perfect" at something. As an added bonus, I got the doctor to give me all the stats. I don't have a scale and I never wrote them down, so he gave me the record of original weight, weigh-ins, and goal weight. I've adjusted my ticker, and I'm halfway! I hope on Thursday when I see the cardiac specialist, I'll get off the BP medication after four years.   Fingers crossed.

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So I've Joined Finally

I finally decided to actually join VST. I've lurked on the forums for about nine months as part of my decision-making process. Unexpected things happened when I finally talked with my doctor here, and I ended up being added to a study in progress here in the Middle East. So instead of having to pay the whole shebang myself, I only had to pay the hospital part. That definitely swayed my choice toward surgery.   So here I am. April 4 was sleeve day, and other than some pretty incredible nausea afterward for about three days, everything went really well. I had no pain medication at all, much to the surprise of the nursing staff here who are accustomed to giving morphine every four hours on the dot. No thanks. No drains, and no other complications either. Whoo hoo.   I guess the biggest surprise is how quickly my attitude toward food changed. I thought a lot about what being sleeved would mean before the surgery, and actually had a grief response at the idea of not being able to eat as before. I didn't really think of specific things I would miss, but rather that I would miss eating itself. My husband (HWHN) and I are Culture Vultures and Foodies... for about the past 30 years. I couldn't imagine how that would work for us if I couldn't eat. So I imagined how I would feel and got all emotional.   Reality is that I'm now completely turned off by foods I used to love. I have been reflecting on the change - I HAVE to eat rather than I WANT to eat. It's so different. Sometimes I get "mental hunger" but thanks to reading the forums I expected that, and given what I do, took a little mini self-quiz and recognized that the mental hunger comes when I'm Bored, Angry, Lonely, or Tired (the bane of addiction). That was a bit of a shock, since I would never have said I was addicted to food. Other than the initial weight gain during/after diagnosis, I've remained at a stable weight... too much, but stable. ;P Never would have said I'm addicted to food, but the mental/psychological struggle tells a tale.   So I'm getting back to doing some things I loved and let go. Swimming, photography, writing, and reading what my mother always used to call, "Penny Horribles." (Novels with no redeeming value except to pass time pleasurably) And... HWHN and I had our first official date post op this week, and it was great. He orders what he wants, and I nibble off his plate. Beautifully done cube of rare roast beef and a sliver of Manchego cheese. Heaven.   Tonight is my regular doctor visit, and I know I've lost weight because of my clothes, but I don't know how much. I don't keep a scale at home. I want the amount to be a surprise, and I want to gauge where I am in the process by how I'm feeling about myself, not by the numbers on some stupid torture instrument. Had enough of that.   After 96 days, I'm down 6 sizes and coveting those pink skinny jeans.   CE

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