The BMI Is Your Friend


I don’t remember the first time I learned of the Body Mass Index (BMI), but I know the only times I generally heard about it was when someone was using it to tell me that how fat I was. I never had anyone explain the BMI to me in a way that sounded even remotely positive. When I would ask what the purpose of the BMI scale is, I was told that it’s to tell you what you should weigh.

Well, I know about what I should weigh, and even the high “normal” range is too low for me. I decided the problem was with the BMI itself. I found out that there are other countries who have BMI ranges that are different from ours. And when you consider that we live in a country where we are constantly being told that we’re too fat, and fashion models, who look like they were rescued from Ethiopia, but never got fed, are paraded in front of us, effectively telling us “This is what you SHOULD look like”.

So, it seemed quite logical to me that the BMI was just another tool to promote unrealistic health goals. And that’s where I left it.

I suppose it also didn’t help matters that for my entire adult life, I’ve been gaining weight and getting farther and farther away from what the BMI chart claims is my normal weight range, until I got to the further point away that I’ve ever gotten – 560 pounds. At that point the BMI may as well have been BFS (I won’t spell that one out for you), for all I gave a damm about it.

This past week, I’ve spent some time thinking about my weight loss goals, along with my current progress. Up until now, I wou have liked to have made it down to 200 pounds, but didn’t think it likely. My real goal was a settlement, I decided to settle for ANYTHING under 250 pounds. I told myself that 250 was a reasonable number, and I know from experience that it’s a weight at which I was able to do far more than I can now. I couldn’t really run, but I could do everything else, and I never liked running anyway.

Now that I’m down around 450, 200 pounds doesn’t seem all that crazy. In fact, I could even see myself getting below 200 pounds. It was at that point that I started thinking about the BMI chart again. Hadn’t I decided that getting under 200 was A. impossible, and B. unhealthy? And, in reality, hadn’t I decided that the BMI simply wasn’t worth my time?

Sure! At 560 pounds, very little is worth the limited time you have left! So, I saw down and started looking over the BMI system again. You know… this is completely different from what I’m thinking. One of my biggest problems with it was that I didn’t understand how they came up with these numbers? Is it just based on what’s generally attractive, these days?

Looking at it in detail, I came to understand that it isn’t that at all. Medical studies, based on our own people, have given us the values we use in our BMI, and although they do use the word “normal”, a completely BS word, I have to admit it is appropriate here. Normal is just supposed to describe a range of values that is being measured. That’s what the BMI system is, a system of measurement.
They’re measuring, using your weight and height, the likelihood that you will have health problems as a result of your weight. The numbers are based on studies that have been performed – what type of health problems do these people here have, and what is their BMI?

Basically, what’s been found through such studies is that if your weight falls between 18.5 and 24.9, you are at the lowest possible risk for weight related health problems. I don’t know that it’s a guarantee, but it’s as close as you can get with medical science (and that’s nothing to sneeze at!). What does 18.5 and 24.9 mean? Well, for me, that’s a range with the low point being 133-136.5 (I’m between 5’11 and 6 feet tall) and the high point would be between 178.5 and 183.5. So, as long as I stay between 136.5 and 178.5, I basically have nothing to worry about, healthwise, from my weight.

So – another point of the BMI that I used to scoff at (because I really didn’t understand it properly) – the “overweight” crowd. You mean to tell me that if I go from 183.5 to 184, I’m suddenly “overweight”? Really? The thing that we have to understand is that Science doesn’t judge! You can fall into the overweight category, and it doesn’t mean that you’re fat, it doesn’t mean that you’re ugly, just like being in the “normal” category doesn’t mean you’re attractive.

So, what does overweight mean? Well, just as “normal” means that you’re at the lowest possible risk for weight related health issue, when you enter the overweight range, you start to put yourself at risk for these issues. But it isn’t like “Uh-oh, you’re 5 pounds overweight! You’re going to die of diabetes!” We’re talking more like “You’re 5 pounds overweight. Now you may be at risk for certain health problems, but it’s not like it’s going to happen tomorrow. You may being developing them, and at the point we’re describing (just entering the “overweight” category), you don’t have much to worry about. Yes, in time, you may develop some problems, but will they kill you? Very unlikely.

However, the farther up and farther in you get, the more risk you put yourself at. The overweight category is from 25-29.9. So, we have just shy of 5 units to move around in. Notice, though, that the normal weight category runs from 18.5-24.9 – that’s 6 and some change. So we had more wiggle room in the normal range than we do in the overweight range. That makes sense, because the more weight you put on, once your past the normal weight range, the more health problems you put yourself in the way of.

Just for the record, in my case, my overweight BMI starts with 183.6 to 184.1 and ends with 214.5 to 220.5. So, what happens when I go from 220 to 221 pounds? That’s when I fall into the world of the “obese”. From my understanding, people that are obese are no longer “at risk” for “some kind of weight-related health problem”. Generally, by the time you hit that range, you already have at least one.

Obesity is divided into different categories. There is plain obesity, which is more or less borderline overweight/obesity. Then there’s severe obesity (depending on which sources you are dealing with) and morbid obesity. The last mentioned range is one in which you can expect to die from the complications your weight is bringing upon you.

You may notice that I’m not assigning BMI values to these higher categories. That’s because they change depending on whom you are talking to. Some organizations don’t even have names beyond obesity, they just divide it into classes.

According to some, I’m in a different category than morbid obesity, one that is worse – super obesity. Beyond that there is “super super obesity”. Sounds kind of like “double secret probation”. On one hand, it may seem like there’s no point to classifying obesity beyond “this kind of obesity will kill you”. On the other, if you hit that range and continue to gain weight, the risks increase, just as before. This translates out to – “you’re still going to die, it’s just going to happen sooner”.

Now, morbid obesity is NOT a death sentence. People claim that smoking takes years off of your life. Some go as far as to try and define how many years. Smoking cigarettes has the potential to make one’s life shorter, but a lot of that depends on frequency of use, length of years smoking, etc… and none of it is definite.

Furthermore, when you stop smoking, the amount of time that you potentially lose decreases. Part of the reason for that is that your lungs repair themselves. They clean themselves out (one of the nasty parts of quitting smoking) and begin to work on all the scar tissue that your habit has created in your lungs.

Yesterday, I pointed out my belief that the human skeleton is capable of adapting to one’s body weight, whether you gain weight or lose it. This is based on the fact that the human body is designed to repair itself. I believe the same about weight loss. If you lose that weight, and go down from morbid obesity, gradually approaching a healthy weight, you are allowing your body to repair itself. It won’t happen overnight, don’t get me wrong, but if you can get yourself NEAR a healthy weight, AND MAINTAIN it, I believe you will see many, if not all of those problems go away over time.

And if you get yourself down to a healthy weight? Could all of those problems go away with time? Could you erase the probability that you will die from weight issues? YES!

So, to my friends whose weight puts you in a category that is so bad, it can’t even be AGREED UPON, join me. I know it doesn’t seem like you can get down to a healthy BMI, don’t worry about that right now. If all you do is go from being morbidly obese to “overweight”, you will be doing your body “whole bunches of good!”, as Bill Cosby would say. And once you get a sizable chunk of that blubber off of you, you’ll realize that the uphill battle you’ve been fighting doesn’t look half as bad as it did from the bottom of the hill.

TODAY’S WORKOUT

New York Boy – Neil Diamond

Looking at the World through a Windshield – Del Reeves

Woman Tonight – America

I’ve Loved These Days – Billy Joel

Bad, Bad, Leroy Brown – Jim Croce

Game Day (A Capella tribute to popular sports music) – BYU’s Vocal Point

Renegade – Styx

SOS – Mamma Mia Soundtrack

Take on Me – Aha

Love’s Theme – Barry White

Eat the Rich – Aerosmith

TODAY’S SPECIAL

Our first special comes straight from Dr. Eeks who always practices what she preaches, especially when it comes to beating depression and improving your life!

For those of you that still have doubts about losing the weight, check out this video. I found it the other day, and was a little surprised at the similarities that we share.

SOMETHING BEAUTIFUL

We return to photobotos with today’s refreshing picture.

Everyone have a wonderful day!

Handling crappy options


The past couple of days have been laden with examples of crappy choices. The key to remember when dealing with them is that you’re stuck with them for one of two reasons -

1. You did something that put you in this situation (Most of the time)

2. Everything else, AKA Kismet.

Since the first option covers most of one’s crappy choices, and it’s the only one we can really control at all, were not going to worry about the second one, or whether it should be subdivided. If you want to further understand the reason, I direct you to the Serenity Prayer, which some of you may recognize from Slaughterhouse Five, or AA/NA/etc..; it’s rather popular:

God, give us Grace to accept with serenity
the things that cannot be changed,
Courage to change the things
which should be changed,
and the Wisdom to distinguish
the one from the other.
Living one day at a time,
Enjoying one moment at a time,
Accepting hardship as a pathway to peace,
Taking, as Jesus did,
This sinful world as it is,
Not as I would have it,
Trusting that You will make all things right,
If I surrender to Your will,
So that I may be reasonably happy in this life,
And supremely happy with You forever in the next.
Amen.

That’s the Serenity Prayer as it is thought to have originally been conceived (and translated into English) by Reinhold Niebuhr. This isn’t a religious blog, so, for those of you that would prefer, here is a simplified version of the serenity prayer, by me:

True happiness involves living one’s life a day at a time AND
Grace to accept things that cannot be changed,
Courage to change things which should be changed,
Wisdom to distinguish the one from the other.

Grace, courage, wisdom. So, when all we have in front of us are bad choices, there are two things we should do. First, choose the best of the bad choices. Make the best of the situation you can, and do it quickly, because allowing a bad situation to linger will often make it fester (get worse). Once you’ve done that, you can concern yourself with how this happened, and if it’s your fault, figure out what you can do to make sure it doesn’t happen again (this is called being responsible). And, again, if you couldn’t have done anything within reason to prevent the choices you are faced with, then it’s time to simply move on! (I will say this, though, there are very few times when we couldn’t have done SOMETHING to avoid the bad choices we face).

The other night, I took my sister’s friend up to North Jersey. Within the next week, she’ll be moving down here. Someone else was going to take her last weekend but she got sick. And she needed to be back up there by Tuesday night, because she had an appointment yesterday (Wednesday). So, I ended up being the one to take her. I didn’t know this until about two days beforehand. So, we didn’t have a lot of time to prepare for the trip, and though it would have been good to bring some food along, we didn’t.

So, an hour after our departure, I’m starving, because I’ve only eaten one thing all day, a fish sandwich. Now, I know, if I don’t find a place to eat relatively soon, I’m going to end up gorging myself on something very unhealthy when I finally do find a place. At this point, we were going through Eatontown, NJ, and we were thinking: “There’s got to be some good food in Eatontown!” Well, I want to sue Eatontown. There wasn’t squat! We drove for another 20-30 minutes before we finally found a place that wasn’t a pizza place (which looked like they should have been condemned).

What we found was the Apollo Diner. And it’s Valentine’s Day. I’m expecting that the only game in town will be packed on V-Day. I was wrong. We were the ONLY customers that I saw, when we walked in. Even though there were cars out front – the staff’s? Well, food’s food, right?

I saw a couple of things that interested me, but very little of it seemed like a good choice. I noticed they had tomatoes stuffed with chicken salad, but the look on the waitresses face when I asked about it alerted me that it might not be the best choice. Marcie ended up ordering a cheeseburger, which is exactly what I should have ordered. That came out fine, just the way she wanted it. I decided to try a gyro and some stuffed grape leaves, thinking this a good choice. I was asked if I wanted a chicken gyro or a beef gyro. I asked for the beef, and, though I knew there would be lamb in it, asked to make sure, anyway. Nope. No lamb. What? How do you make a gyro without lamb??? They do, apparently. I had also asked about their broiled half-chicken. I decided at this point that I just didn’t trust a place that made a “beef gyro” with no lamb so I asked for the chicken.

Well, I meant the half-a-chicken. What I got was a chicken gyro. But they were kind enough to take it back, and a few minutes later (wait, a few minutes???), I was presented with a half a chicken that didn’t look broiled at all. It looked deep-fried. I’m not sure if it was ever broiled.

My friend Krystal once taught me how to eat healthy at a KFC. You order the original chicken (breast, specifically) and you take off the skin. Taking off the skin is hard for me. Ignoring the stuffing underneath the chicken? Fine. But to not eat that yummy skin? I should have told them to take it off for me. Yup, I ended up eating the skin. Not the best choice I could have made, but even if I wasn’t hungry, I love chicken skin.

So, I wasn’t really thrilled with the Apollo Diner, or its offerings, but we had a really nice waitress and I do feel a little bad about putting her through the paces.

We didn’t get to where we were going until late and I found myself a little too tired to be driving, by the time I got to Trenton, so I made my way to the Petro Truck Stop and stopped for the night. Upon waking, I exited my truck and went inside the truck stop for my stretch and warmup. I didn’t notice that they now have an exercise room (a damn small exercise room, but that’s what it is, nonetheless) until after I had finished working out.

Now, I did have to debate with myself a little about this. Not knowing about the exercise room (which would have caused a hassle anyway, getting access) I picked the place I thought would have the most room and least population for my stretches – the TV room. It was close to noon, so most of the drivers that were there were in the restaurant. With the TV tuned to “House, MD” I got my stretches done, but noticed that I hadn’t taken into account that fact that the room had windows so that I could see out into the rest of the truck stop, and the people there could see into the TV room. I had a small audience of curious faces. They got even more curious when I started doing my warmup, what with the punches, blocks, backfists and kicks that I’m doing now (for the record, that is NOT the ten minute warmup. There’s no time in that warmup for punches, kicks, etc…)

I had less of an audience as I walked around the truck lot. There, I just looked like another driver, walking to his truck. Once I get the problem between my laptop and my phone worked out, I’ll put some pictures up too, so you can see how long the row of trucks was (I did a lap and a half around them!). I finished up with a relaxing 6 minutes in one of their massage chairs. They used to have real massages there in the truck stop… but that got shut down… considering the massage I once got there, I can’t say I’m surprised.

I was presented with a lot of bad choices over the course of a couple of days, but I dealt with them by making, for the most part, the best choices I could. Today, I was faced with another. I won’t go into much detail, if you want to look it up for more information, you go right ahead, but don’t even ask for pictures of my candida rash. It’s a long-standing problem I’ve had for a several years. It can make it very difficult and painful to walk, and it can be extremely painful and difficult to treat. It was so painful last night, I couldn’t even consider sleeping, showering, walking, etc…

One of the things I’ve used to treat the problem (I have to treat it because Doctors have a tendency to just shrug their shoulders and tell you “yeah, good luck”) is no longer available from the Outlet where I normally purchased it. And what I’ve been able to pick up at other locations to replace it hasn’t been as effective, and since I’ve started to lose the weight, it’s really starting to get bad.

Last night’s choice was “what the hell do I do with this?” I could jump in the shower and scrub at it. That cleans it, but it feels like I’m ripping my skin apart and has produced some bleeding on more than one occasion. And I hobble because of the pain, but in time it goes away. Before it gets clean, I hobble because of the pain, but it just gets worse. There’s a lot more about this that I’m not even mentioning. It’s pretty embarrassing, and frankly, I’d prefer not to talk about it at all, but it’s a big enough part of my life and my weight (because lets face it, most of what allows it to continue unabated is my weight), that I don’t feel I can hide it, not while claiming brutal honesty on this blog.

So, I couldn’t get to sleep, and whether I tried to clean it with the brush in the shower, or with some wipes (which is very difficult, because this infection spreads to areas that I have a lot of difficulty reaching) it was going to be highly painful. I finally decided, after some debate, to go to the ER. The pain was driving me nuts and the anticipated pain that would be involved in cleaning was worse. Plus, since I’ve never even had a doctor properly explain to me what it is that I have (the closest I ever got was “it’s a heat rash. What do you expect?) (I’d just like to point out that I have not shown this to my current doctor. I’d already shown it to two Doctors and told a few more about it, and I didn’t want to deal with another Doctor just looking at me and shrugging. I’d like to think he wouldn’t do that, but I would have liked to think the same of the previous Doctors. I did tell him about it, and how I was taking care of it. That seemed to satisfy any curiosity he might have had about it.)

Well, as it turns out, going to the ER may have been the worst decision I’ve made all week. For one thing, was it really an emergency situation? So I was in pain. They didn’t seem to care, and this time I’m not sure that I can blame them. (When could I blame them for sure? The time I went in after tearing my right bicep. The doctor asked me what was wrong, I told him what I thought had happened, he told me thought I was right, prescribed a painkiller and sent me home. No scan, no nothing.)

But, you know, I let them know that I wasn’t worried about how busy they were, I could wait until they had time to take a look at me. They insisted they had room for me right then, so back I went. I was in and out and it couldn’t have taken more than ten minutes. Man, people would kill to get the kind of swift service that I got last night. At least as far as being seen quickly goes.

The nurse came in, looked at it, admitted it looked really bad, then asked why I didn’t go to my Doctor instead of the ER. I’ll have to talk to him about that – I didn’t know he kept office hours until midnight (sarcasm – he doesn’t). So it was suggested I should have just waited, and she said “don’t take it personally” to the person suffering from depression that just asked the triage nurse what they do with you if you tell them you’re thinking about harming yourself, “the Doctor’s going to say the same thing”. I believed her too. When I get those pictures up, I’ll show you why, too. Apparently cleaning a room before ushering in the next patient is no longer standard practice at this hospital. I started to understand, especially as the Doctor came and left, that I was a rush job. Rush him in, rush him out.

Part of this appears to be because they thought I was a selfpay. The last time I was there I didn’t have Medicaid. I had CharityCare, but that won’t pay the Doctor’s bill. What didn’t help is that I saw the nurse and the doctor before I ever saw the registrar! I was on my way out the door when she stopped me to get my information, and she was quite surprised when I handed her my Medicaid card. I told her to tell the condescending Doctor (there were a number of comments about my weight, and how if it really bothered me, I would have lost the weight by now) thanks a lot for the “Medical Don’t Care”.

In the end, I had to grit my teeth and try to clean up with some wipes. It hurt like a son of a bitch, but it was better than scrubbing at it in the shower. The soothing aloe in the spray did at least help to ebb the pain, and today I cleaned up again, with a little less pain this time. I thought I’d open up another bottle of the ointment that I apply to it. This was a brand I hadn’t tried yet, which I had gotten at a drugstore. It’s still not as good as the stuff I used to get, but it doesn’t feel like it’s making things worse, like some of them, either.

Well, I wish you the best of luck in the choices you have to make. If you can say that you only occasionally make poor choices, then you’re doing alright in the world. But when it comes to weight loss, you still want to make as MANY good choices as you can – don’t forget, Grace, Courage, Wisdom!