For the Birds

This month of night float is almost over…THANK GOD!

That lifestyle is for the birds

The things that this schedule has done to my metabolism, mood, waistline, circadian rhythm, personal relationships, work ethic are catastrophic.  I have never felt more out of touch with the world, even while I made my monthly cross country treks during my last two years of school.

It’s such a struggle for me to look on the bright side of things right now.  I hate seeing these changes in my life.  I have been venting non stop to one of my favorite people how my life feels so out of whack right now and how I’m not sure how much more of it I can take – having second thoughts on a daily basis and wishing I had chosen surgery or ER over internal medicine.  Dammit, I had the scores (I think).  Why did I choose internal medicine out of the fear that I wasn’t cut throat enough to survive a surgical residency or fear that I wouldn’t get interviews? Why didn’t I tell the program director at my ER rotation that I would do anything to switch to his program because it was so strong in both didactic and clinical areas? I’m so damn sensitive.  Why the hell did I settle? Maybe these ridiculous questions are just part of this treacherous territory. It’ll most likely all work out in the end…only if I get that cardio fellowship (fingers crossed).

The main goal of this post was to highlight how my body and mind have changed drastically this month.  I have to look on the bright side and congratulate myself for the strides I know I’ve made.  I started spin class when I knew my stress level was a bit high, fell in love with it and now I can’t get enough.  I  spin about 3 times a week and I’ve continued my C25K on days opposite spinning, almost right on schedule. That’s pretty stinking good, right?  I typically only leave one day out of the week to rest my muscles one weekly.  I’m so f^&*ng proud of myself for the determination that takes.

There’s a but….

Despite how much more exercise Im getting and how the scale reassures me that things are going well overall, I still look at my gut and overly large chest in the mirror and wonder why they won’t budge.  Aggravation!  I have attributed it to a few things, all related to night float (for the most part). I’m not doing nearly as much yoga/pilates as I was during my slightly flatter belly days, not eating on a normal diurnal cycle, and not eating the most of the healthy foods I used to crave – simply because night shift is such an abusive schedule on the body.  I used to eat once every three hours and barely ate carbs simply because I didn’t crave them.  I would have one of the major meals of the day and creaking it up with a Kind bar, fruit, little yogurt shakes, SOMETHING of substance.  I can’t eat on my normal schedule when I’m sleeping at odd times and eating when I can.  These days all I crave are bagles, Dunkin’ donuts grilled cheese flatbreads, chocolate, sweet breads, chips and salsa, chinese food, salty, and more chocolate.  What the F*** is that about?  I suppose my body is just in freak out mode because of the change in cycle – I think that’s why the carbs are being over desired.  This is no bueno.

so….

I’m going to attempt to take these changes in stride.  It’s OK that I put on pound on this week – after all, the nurses loved working with my co-intern and I so much that both the ICU and the ER had little parties for us. That meant pizza, wings, ice cream cake, garden fresh veggies, homemade brownies/choc chip cookies, and my favorite – cheese and crackers.  This, by the way, is an extremely rare thing for nurses to do for interns (so I’ve heard) so I’ll give myself (and my co-intern) a huge pat on the back for keeping the RNs happy. (Plus of the month) It’s OK that I ate that way.

I’ll also have to learn to forget the scale for the time being.  I didn’t go for my weigh in this week because I knew what the situation was and I didn’t want to be too much harder on myself.  I know what this night-style is doing to me so I’m letting it go. Along those lines, I’ll have to let go the negative feelings I have about my job right now.  I think the mental and emotional hardship is part of the game at this point and I have to remember that I’m still learning.  I think it’ll all be OK at the end.

My main goal of the week will be to add more of my Yoga or Pilates as my schedule changes to day team, finally.  I’ll see how that schedule works out and if I have time for the yoga, I’ll do it; if not, then so be it.

Happy Reading 🙂

Down again!

After all of my endless whining I had my weight in today and was down 1.6 lbs!  I couldn’t really believe it; I thought for sure I was either steady state or up a few tenths of a point.

Changes I made this week that may have contributed:

-continued with C25K

-added a yoga session after my run or just a few extra minutes of walking

-instead of hopping on the elliptical on my cross train days like I did in the past, I started adding spin classes into the mix.  Three days this week.  I still have slight saddle anesthesia, too. 🙂

I haven’t had AS much to eat at work (still eating at night tho) but the only big difference is my my liquid intake.  I’ve been trying to save more money so instead of my pre-shift stop at S-to-the-bucks I’ve started brewing my own jasmine or pomegranate green tea.  I make it about 30 min before work, add ice to my 32 oz travel jug, add a stick of honey with some Stevia and I’m on my way.  Getting that extra fluid really does stave off some hunger.

Thanks for the comments on the last post.  Having that extra bit of motivation when I’m feeling defeated by the scale really helped push me to my ultimate 1.6.  Thanks 🙂

Side note: while I was at WW for my WI today I noticed they had some chocolate shakes and immediately thought of a new concoction I might try; 1 packet WW chocolate smoothie mix, 1 mini banana, 1 tsp almond butter, 1 tsp instant coffee, 1 packet Stevia.  1/2 cup crushed ice + blender.  I actually will try using chocolate almond milk instead of the mix because I ended up buying the pomegranate blueberry smoothie mix instead, with a box of the ranch crackers.  I’ll try ’em out and make a few comments later.

totally random, but as I was searching for images to add I came across this little clinical gem and it reminded me how much I love fiber.

Happy…..something 🙂

I am what I eat

Gross

I feel so gross.  Residency finally started and I’m working night float so that means I’m not really eating much because I’ve never been a night eater, right? I thought that when I shifted my sleep schedule that I’d also eat much less  and I’d be busy enough to stave off cravings.  I couldn’t have been further off.  The only accurate part is that I’m not, or at least I didn’t think I was, a nighttime snacker.   Working nights has made me soft, literally.  Some how I’m hungry every hour. I have been trying to stick within my WW points and pack little 4-point almond butter and banana sandwiches, apple, greek yogurt with granola and fruit, and by sticking to my all bran in the AM.  I have even stuck with my eating every three hours rule and have an eating schedule planned out in my head.  None of this is helping.  For some reason I’ve re-developed my love handles and my abdomen looks like something I’ve only come across on maternity units.  My measured weight is actually continuing to decrease while my image in the mirror is NOT what is was when I graduated last month.

I’ve been eating so much more…and not just when I’m at work, it’s mainly when I wake up in the afternoon. I’ve completely let myself go to the point I had TacoBell two times last week while hanging out with the little bad influence Runt-my sister.  I hadn’t touched bad-for-you-nutrient-deplete fast food in months. MONTHS.  Then she introduced me to the crunch wrap supreme. 12 fucking points.  12!!!!! Mind you, this was at 1 a.m. It’s been downhill from there.  I had tiramisu, went to a wedding and had cake and a cannoli, multiple sweet mixed drinks, I’ve even gone back for more TacoBell.

I miss my last few months of people making fun of me for eating so healthfully and for my self-control around desserts/junk at work.  I’ve never had control like that before.  As much as I say I want to get back where I was with my self control i feel like it won’t be as easy this time because i don’t have a particular goal.  Last time it was that I didn’t want my classmates seeing me as a fatty at graduation.  I haven’t been able to find a new short term fitness goal.  I know this is what works best for me.

The only thing I’ve go going for me lately is that I’ve been exercising A LOT lately.  I’ve been doubling up on spin and running; a little speed-junkie I guess.  The only thing I really miss is my hot yoga… and I guess pilates.  I’m pretty sure those were the two things that really helped me tighten up and tone…the only issue is that I can’t afford the Bikram anymore and I have no patience for pilates.  It’s just not what I need these days.  I’ve got to get back into it.

I need some tips and encouragement/motivation ASAP.

happy Eating…. 🙂

Here goes nothin’…first post on a shiny new blog!

Welcome to my brand spankin’ new blog and thank you for reading

Here’s a little lot of insight into what my goals are and why I chose to start throwing my ideas out to the masses. There’s a long-ish story. If you know me, you know there always is a story.

Here’s the gist: MEDICAL SCHOOL -> stress ->eating like I was hibernating->no exercise + super unhealthy BAD relationship -> more stress->self esteem in the crapper->more stress->more eating +energy drinks and coffee = 30 pound weight gain in 2 yrs.  If you’re bored or I’ve piqued an interest, read on…

Now here’s the sort of full exciting story:

I’ll preface this by telling you, interested reader, that I have dreamed of being a physician since I was 12 years old.  I worked my ass off trying to get there.  Words cannot ever express the euphoria I felt when I opened up my acceptance letter – I was finally in.  It was very easy for me (and probably most of  my classmates) to forget that feeling upon being, pardon the cliche, thrown to the wolves, and expected to learn everything on our own from day one.  DAY ONE.   I never once in my first two years took the time to reflect on how lucky I was to be given the opportunity to become a doctor.  Oddly enough, it was literally the night before I took my STEP 1 boards- two years after school started – that I stopped myself to think that my constant worrying and misery was selfish.  There were hundreds if not thousands of kids out there who would have done anything to be in my shoes – taking the boards to progress to third year. But I was stuck feeling miserable.  I stopped “hating” medical school.  That very day I made a valiant effort to stop wishing I never went or wanting to drop out of medical school.  Who drops out of their dreams? Not this fool. I learned to appreciate being a medical student (an appreciation that heightened after my first rotation with my cardiology mentor – the man who moved me to choose his field…tear).  After all, I was going to be able to help bring someone’s beloved mother/grandmother/daughter/son back to health with whatever skill set I develop.  Why should I be miserable….

The dirty deets

After four (two, really) years of diligently paying full attention to my well being hell in medical school I finally graduated last week and entered the realm of “Physician”.  The dream was finally fulfilled after much emotional torture that is something that I can only describe as sadistic and seriously masochistic to the nth degree, minus the sexual pleasure that typically results from such practices (I wouldn’t know..really).  I was taking out a $200,000 loan (OK, pick your jaws up off of the floor) to pay for torture and to be devalued.  Seriously? I could have found more exciting ways to spend $200,000 AND I could have gotten that happy ending at the end of the session….

The first two years were the worst emotional roller coaster I’ve ever ridden and it was as if the damn breaks failed.  After heart break, tears, non-stop diarrhea, sugar-free Red Bull which-PS false advertising – I STILL DON’T have WINGS, multiple uni-ball pen purchases, dead highlighters, practically non-existent sex life,12 plus hours a day studying at Starbucks, USF, and Barney’s, multiple appointments with my gastroenterologist after developing ulcerations from about four-16 oz coffees daily (with the devil Siamese twins I call CREAM and SPLENDA), horrendous back pain from poor reading posture, tears, tears, and more tears, losing friends, sacrificing a social life, feeling alone, developing a nasty sense of competitiveness, driving my family crazy with worry, missing my best friend, wanting to drop out, thinking I made a mistake….and ultimately falling into a pretty bad depression, I can finally say I made it. Yay.  Was I alive? Let’s check some vitals.  Barely there.  But, I’ll tell you, there was nothing like the smile on my little sister’s face after I walked off that stage with my diploma and hood – that ONE look – that made it all worth it.  She was glowing for me and I had NEVER felt so proud of myself.

The events:

It was during these few years that I also lost myself for the sake of feeling smart-compared to my supposedly much smarter and talented classmates/roommates.  I really wanted to know my stuff inside and out, and excel, but excel I did not (at least for the first year).  I was unhappy.  I missed my family.  I missed having free time.  I missed my best friend.  I missed celebrating holidays with my family.  I missed feeling happy.

It was a mixing pot of fear of failure, a terribly unhealthy romantic relationship with a narcissist (that lasted a horrendous 2.5 or so years and killed my sense of self, worth, happiness, zeal for life), and zero physical/emotional health efforts.   I wanted to be the best, but that was at the expense of my well being.  I stopped exercising, ate every meal of every day at a fast food restaurant because I simply felt it was a waste of time to cook.  Exercise took a back seat to everything.  I didn’t even remember what the inside of a gym looked like or what it felt like to take a fun group workout class.  The sad part was that I didn’t even miss it but I knew I needed it for the sanity that I probably lost.

The nutrition was an utter mess.  I would devour anything that was covered in sugar, mayonnaise and, well, I loved anything that was of ZERO substance.  The more fattening the better.  Slather it on, bitches.  (Speaking of slather, a fun fact about my developing one-woman obesity epidemic was that I developed a love for Mexican food, so much so that my cell phone actually accidentally drowned in a heap of tomatillo sauce and had to be relplaced.) I digress. It was my vice.  It was to the point where the awesome husband and wife duo (two of my best cheerleaders) who ran the cafe at school knew how I liked my poached eggs and buttered toast, cashiers at Panera knew my first name and knew what I was going to order before I even walked in, the Starbucks baristas at three different stores knew my drinks based on the season and would prep them the very minute I walked in – and would add my extra caramel.  My favorite sushi restaurant even made up an interesting special order avacado roll for me…ironic…roll.  Here’s the worst, the creepy Pakistani man who managed the gas station near our study spot actually knew my name (luckily I never found his out).  He knew I’d be likely to wander in about 3 days per week and buy some  sour patch kids, teriyaki beef jerky, cajun mix, Rockstar, a sprite zero (duh, I was watching my caloric intake), or a banana.  There was even a point when I looked so nervous about a test with my beautiful dark under eye circles and acne, that he kindly offered me pot.  I should probably have taken it but here’s an interesting side fact: I’ve actually never smoked (or otherwise consumed) the shit.

Food was the ONLY thing that wouldn’t make me feel like an idiot in medical school and made me feel happy  for about 10 minutes.   I devoured it.  Fat=happiness and ultimate sadness.  Tell me you’ve seen Supersize Me; you know how Morgan feels like death? Yes, well that’s how I would feel about an hour after I ate the sugary and fattening poisons – except the feeling never went away…ever.  I grew to despise the way I looked.  Never wanted my ex to see me naked and quite frankly he never wanted to once I gained my weight (because, and I quote from his mouth, that he started to hate my “fat, wide ass, huge gut, enormous saggy tits, and double chin” – charming, right? – trust me, I finally realized the low/no self-esteem I had to have had to date him – and honestly, he was no model of health himself), and avoided fun social situations because (a) that meant less study time and (b) I looked like crap in everything I wore.  All of this fast food added up pretty fast and depleted my student loan account at the end of each semester and I was almost 30 pounds heavier than when I started school.  It was all over my ass, gut, and chin.  My clothes looked terrible, I looked terrible.  Needless to say, I felt it, too.  My vice has destroyed me. Was this all worth it???? (to be answered in subsequent posts)

The stare-down that changed my bad behavior:

Welcome fourth year.  I had been out with my adorable sister having lunch.  She casually happened to ask if I decided what I thought I wanted to ultimately practice.  I dropped it – “EFF yeah, obviously I love interventional cardiology”.  The look I got when I said this felt like a round-house to the heart.  All she did was look me up and down and say “Seriously? YOUUUU want to be a cardiologist? How are you gonna convince your patients that they need to lose weight?” and yes, it sounded just that bitchy.  That was it, folks. I was crushed.  For days I was uneasy.  I thought, well, maybe patients will listen, who cares if I’m obese?  Then it hit me like a ton of cheeseburgers – I need to stop my cycle.  I need to be my patients’ advocate and model.  I was being a hypocrite.  How selfish could I be? How could I say I wanted to be a cardiologist and treat heart disease if I was sitting at Starbucks drinking a grande caramel macchiato with extra caramel with an apple fritter? How could I dare not exercise then turn to a patient and with genuine love tell them they needed to make better choices? I have to start making better choices.  Let me get on that STAT.  we all know what stat means – it means when I feel like it = never.

I was also getting so tired of getting crooked- brow stares from truly concerned family members whenever I ordered that nastiness that is takeout.  I will NEVER forget my dad’s (who might very well be my favorite person on earth and he knows it) birthday dinner about two years ago.  After we had all finished our dinners, mine, of course, was an alfredo-laden pasta, 8000 calorie , total shit fest that curiously left me craving for more…shit.  When the waitress came around donning a charming smile and full dessert menu…who the hell was I to deny that SMILE and additional tip out of my dad’s wallet? Of course I’d take the menu off her hands.  Salivating like a rabid dog and scouring the menu with an appetite that could put sumo wrestlers to shame, I chose my dessert…and if you know me, you’re likely to correctly guess that it involved the trilogy: booze, fat and sugar…YES, TIRAMISU!  I patiently waited for the waitress to come back and when she did, I reciprocated with that friendly smile and nearly screamed my gluttonous desire for tiramisu…and that’s what I looked at my dad’s face.   He was wearing his “angry face”.  $#*^ !  The one where he looks me dead in the eye, head slightly titled as to look at me from the corner of his eyes, lips pursed as if about to spew profanities, and nares flared.  This was not the look I’d hope for.  I shamefully asked what everyone else was ordering and my father blurted out, “NOTHING! We already ate!”  in his little accent, but theu this teeth as if he just wanted to scream.  I shut my mouth and almost cried.  Yikes. I knew why he was so upset.  I knew that every time I came home and he saw the new weight I’d put on he was becoming more and more fearful of the threat of diabetes which two of his sisters died from, which he is also victim of (although he’s a Type 1).  I should also add that he is by far THE HEALTHIEST person I have ever met.  First off, he is rail thin but well built, works out twice daily – both cardio and weight training, eats extremely regimented meals (possibly stemming from his obsessive compulsive -mindset as a hardcore nerdy engineer).  The fact that this specimen of health looked at me like this…MAN I was defeated.  Embarrassed. I felt like the universe had shat on me…great, now I would never hear the end of it.  I had ruined dinner.  But did that stop me from making that tiramisu my bitch? Nope.  That was THE Worst stare-down in the history of stare-downs. Dad-1,Dessert-0

I dragged this out. It was time to find the tools that I thought I would be best able to eventually recommend to my patients. I researched several diets, plans, fads, gyms.  You name it, I read about it.  But that was the problem…I dragged my feet for weeks researching.  In the meantime I started waking up at 5am to head to the hospital’s free gym.  I finally picked the most practical one I knew; WeightWatchers.  This was one, I knew, would be the most sound weight loss tool I could follow and hoped I would be successful.  After all, now I had graduation to look forward to.  Had to show my stuff off on the beach!

I have felt fabulous on WW.  I have lost a total of 28 pounds thus far (8 on my own and 20 with WW) and I feel like a million bucks – unfortunately this million won’t pay off all of my school debt. Bummer. Not only did I start meticulously watching what I was shoving down my gullet, I also began working out about 5 days per week.  I developed a liking (GASP!) for the gym and bought several work out videos for the days I couldn’t make it to the fitness center.  My favorite routine (and bank-buster) thus far has been HOT YOGA!  I started this to teach myself how to focus and outlast a grueling workout.  I am in some serious love.  I will blog more about that later.  I also found myself popping my AM/PM Yoga in the DVD player right before bed every night.  May I just tell you that this was magic.  Magic sprinkles all over.  I found such stress relief with this practice that I may have reversed the lunacy I developed during my first two years of med school. The jury’s still out.

Finally, the reasons I chose to start blogging were many, but most importantly, during my health journey I have found it immensely helpful connecting with fitness and health bloggers via Twitter.  I’ve been introduced to helpful books, websites, more bloggers and even that intro to Bikram Hot Yoga that so enlivened me.  Ergo, I thought I might jump on that band wagon while it’s hot!  Pop it like it’s hot? Getting my fitness goals out to people who are reading my progress  helps me stay focused and accountable.  That’s my reason…love it or leave it.

So that’s where my story begins.  Hopefully it set the tone, giving you and idea of where I’m coming from and events that lead me to blog.

My subsequent posts will focus primarily on:

• residency- the ups, downs and all arounds *(I will never divulge the name of my training program, fellow residents, or my patients.  I will also NEVER describe details of their intimate stories – trust and faith in character are traits of utmost importance to me (most importantly in medicine) so I take this responsibility with honor and hold it in extremely high regard)*
• continued weight loss
• how my first few months on WeightWatchers panned out
• my weight loss journey
• pearls of wisdom I learn along the way, both in terms of weight loss and becoming the physician I am destined to be
• motivational quotes
• exercise goals I set for myself and tips that I learn along the way
• pointing out my healthfulness struggles and obstacles along the way
  
• finding balance between work, family, and health (both emotional and physical)
  
• continuing to develop healthier habits
• I LOVE FOOD! recipe posts and photos (yes, I’m one of those people)
  

These blogging goals are important to me but I am more than likely to add some random fun stories in just to shake things up a bit.  I’m also using this as a way to document my personal growth and development over the next three years.  I’m hoping I can inspire, help and motivate a few while doing the same for myself.

And being that I’ve been trained in a world where lawyers set the tone for medical practice, I should add a disclaimer that none of my posts should be taken as medical advice.  Ever. I post and practice only what helps me and what I’ve learned from fellow bloggers or interesting articles.  I also won’t/can’t give specific medical advice. Trust me, at this stage in my training and the nerves built up over impending internship, you wouldn’t want me giving you any advice on anything other than menu recommendations at local restaurants.

I hope I’ve intrigued you to continue following me in my little journey.  Feel free to add comments and pass this on 🙂

happy blogging!