I think that you can do this yourself! It definately is an option but you will feel great when you work for it yourself and make it... And being on this site definately helps - I wouldn't be able to keep this up without you guys! I'm glad to hear you are feeling confidant, keep up that attitude you have every right to feel that way CHeers, take care !

I'm not even a candidate for bariatric surgery right now. I'm not fat enough...but I was when I started. You have to have a BMI over 40. I cant believe that I was once a candidate though. Its scary to think about that. I don't see myself as being as big as some of our patients, but I know I was not too long ago. I did my lecture this morning on exercise in the elderly and it went over pretty good...though everyone got all defensive for a bit...it was funny. They're all full of crap because Ive worked with most of them and Ive never seen them pushing fitness much.

your doing great and i am glad you are back on track you can do this all the way!!!!!!!!!

Ive been in a real slump this week. Ive only lost 1/2 lb in over a week. Thats my slowest week ever. The workouts have stopped because of tendinitis on Sunday while running. I think thats calming down so I should be able to run tomorrow hopefully. I haven't really done to well on my diet either. Hrm, not eating well, not exercising and not losing weight....maybe theres a correlation??

I have so much stuff going on with school/work. I feel that I have so much going on that I dont do anything....things catch up and I get down and then everything goes to hell...even my diet.

Im moving back home in 2 1/2 weeks, I really need to get my motivation up so a major life change doesn't destroy my momentum. Ive been isolated for 6 months with much less temptation than at home so this may end up being a real challenge to me...and definite potential to destroy what little motivation Ive had lately.

The crap is starting to hit the fan

embrace this slump as a learning exercise - you've certainly taken a clinical approach up to now, so you can use this to define the 'whys' of stilted weightloss (which seems to happen to all of us, the only difference is whether you go forward or back), and then figure out the 'hows' of getting out of it (which you will). this will benefit you and your patients.

good luck - you'll be fine

Speaking of the gastric bypass, If you are under 40 some insurance companies will let you go with 35 BMI or higher if you have diabetes2, high bloodpressure and something else. I went and my BMI is 39.5 and I have high bloodpressure. The only problem is they wanted me to get Dr. records from the past 5 years and my BMI has to have been over 35, and thats like 198 lbs. I think 6 years ago I was down to 175, so I'm pretty positive that I will not qualify. So, I am doing the diet thing and trying to get it down myself. Good luck on your move, don't let them get to ya!

Thanks Sheidi, Yeah, I'm not going anywhere....in actuality, if I stayed right where I am, its a lot better than where I was....but thats not going to happen. I'm going to stay on course and finish what I started. But being derailed sucks. I know exactly why I'm not losing much, but I cant do much about it...except accept a slower rate of loss for a while, and hold tighter to my diet.

Beachcomergal....not qualifying for the GP is a good thing. The option will always be there if your weight gets out of control. It is an option that some people really need. But if your determined, you can always keep trying....just dont give up trying, you never know when your efforts will stick.

I went running yesterday. It was an awesome run, one of my best ever until I hit about 2 miles. The tendinitis hit again and I stopped immediately and walked back to my car. But I was limping right away....and cursing. I'm going to have to hang up my running shoes for a few weeks I think. Its frustrating beyond belief, but Ill never heal if I dont. Ill try some lower impact workouts for a while. Ive done good food wise though and have lost another whole 1/2 pound. I just dont think I'm going to hit my goal for the month....I may not even come close. Ive hit every goal so far to this point...I just wish I were a more patient man.

OK, I have to take all the gloomy crap back from my last post. Yeah, I cant run for a while and thats a pisser...but I started back on the elliptical, which I can usually get a better workout on anyway, and things are going great. I dropped quite a few lbs in this last week...its all the water weight from building up glycogen stores, so I dropped fast just like at the beginning of a diet. Plus, I ran out of pickles....tons of sodium. So anyway, I'm back on track and feeling much better. I think I will make my goal this month.

Still doing well on the elliptical. I keep caving a bit on food people give to me. Just a little bit though. I don't go nuts and stuff myself or anything. It seems that everyone is waving a donut in front of me every time I turn around. There not a huge huge temptation for me so thats OK. But someone brought in cashews the today....resistance if futile when it comes to cashews. I think Someone replaced salt crystals with addictive crack crystals on them things. I caved on a little bit of Chinese food yesterday.

I'm really getting down to a weight I feel good about. None of my pants fit me very well anymore. Some things I just cant wear at all because they dwarf me. I cant wear anything without a belt. Even things I couldn't even fit into a short time ago.

I'm not shaking this tendinitis though. All I want to do is run, but I cant. Its very frustrating. Thank god for the elliptical!

Wow, I haven't checked on you in a while. You've lost almost 50lbs since you've started here. Amazing! Keep up the great work. I bet you're looking great!!

Thanks MJB, Yeah, Ive lost a few Lbs. I was doing round this AM and a doc I used to see a lot when one of my roommates rotated with him back in Dec was doing rounds. I haven't seen him for 4 months. Anyway, he said, "holy crap you've lost some serious weight! I could hardly recognize you!" I was pretty happy about that. Ive got a lot of "you look way different" comments the last couple days...but maybe thats because I just shaved off my double chin hiding fat guy goatee.

I did take a few days off the diet for Easter weekend. I gained a couple lbs. I was down to 208, but just bumped up to 210. It was well worth it though. I had a good time. My wife came up to visit and we drove down to another hospital that a few of my friends are rotating at. We had an awesome dinner. It was a good time. I'm back to the grind today though. I'm getting ready to move back home to Utah on Thursday. I'm excited, but scared that I might lose my motivation if I don't get a routine going ASAP as soon as I get home. The last few times Ive gone home though, Ive gone to the fitness center so I will just try to run with that.

moabnut, Wow your doing great. I wish I kept eating right when I was away. You'll problem be 20 - 30 lbs ahead of me now. I'll be right behind you. And yes it is a competition. At least we will all end up looking great at the end.

Chip

Hey Troutman....youve been ahead of me the whole time while Ive been trying to catch up....so it looks like Ill be trying to stay ahead now...lol. Cool. Bring on the challenge! I need some competition.