“Everything in life is only for now”

May 3, 2011 § Leave a comment

Everything in life is only for now – quote from Avenue Q imprinted on a pin that one of my patients wore on her hospital gown everyday
Residency

This post will focus on what I’ve gained, both with respect to my medical knowledge and my fitness.  It’s been an emotional and physical test of my ability to cope with loss, gains, and learning what is most important in medicine.  It’s been painfully humbling to say the very least.

This month has been a particularly challenging one, not in terms of the medicine, but in terms of the emotional connectedness and empathy I felt on a daily basis.  I spent four weeks on the Hematology/Oncology ward.  This means I was taking care of patients with blood disorders such as obscure anemias, bleeding disorders, leukemia, lymphoma, and specific cancers such as lung and melanoma.  There is no other service that teaches you how to connect with your patient or fosters an environment where bedside manner can make or break your relationship with the ill patient.  This was, in all respects, my favorite rotation of intern year.

Human connectedness

Those two words describe the essence of the service.  I have never developed connections with my patients as I did this month.  Yes, of course I care for all of my patients and am generally interested in their well being, but let me assure you then when you have a patient who is experiencing end of life, the relationship beckons deeper love.  I think this was, by and large, a month where I learned more from my patients and was “helped” by them more than I could ever have done for them.  I found myself going the extra mile, staying many hours beyond my duty hours just to spend time with the families, ensure that crashing patients were safe, all loose ends were neatly tied, and, foremost discuss end-of-life decisions- the latter being the most emotionally moving aspect of my training to date.   It become my job to initiate a natural path to death with my beloved, terminally ill patients.  No other profession is honored with the rights to discuss DEATH with another being, to tell a true fighter that it’s ok to let go. I would do absolutely ANYTHING to allow them the most comfortable and peaceful path towards death. I grew intensely attached to my patients, regardless of age, stage of disease, or stage of grief.  I found myself calling the nurses long after I left to make sure the dying had enough pain meds, were comfortable, and that their families could call my cell if they needed. Humbling, terrifying, mystifying.  While the families we cared for were losing a loved one to sinister disease process, I was gaining insight into the depths of family values, the human experience, family dynamic and the meaning of love.

Losing patients to disease hit me so much harder and signing a patient’s DNR/DNI form would bring me to tears at times.  One patient’s decision to become DNR/DNI (meaning that they did  not wish to have CPR or any life support) led me to the closest bathroom where I spent a solid 30 minutes sobbing.  Of course I didn’t do this in front of the family during decisions of that magnitude, but I can assure you that I broke down into tears while holding the hand of several of several patients while  listening to their life story.  Beautiful.

Also, something that I saw on this service that I didn’t see an ounce of on my other rotations was POSITIVITY.  I was astounded at the positive attitude and zest for life that my patients had.  Considering the grave prognoses I wrote in charts daily, I was inspired that each patient was living for THIS day.  They focused only on THAT days’ total blood count, THAT days’ pain control, THAT days’ time with family, and some days even shared the travel plans they had for their last days.  There was only one time where I saw a patient cry over their disease, otherwise these patients were the embodiment of stoicism.  Again, they taught me lessons that a medical text book or attending could never teach me.  The quote in this post’s title was on a pin adorned by one of my myelodysplastic patients everyday.  She was preparing herself for a bone marrow transplant but was developing complicating infections because her immune system was being ravaged by the disease process.  Every morning I walked into her room she was playing vivaldi on her iPad, had her hair and make-up done, and would smile at me and say, “Good morning Miss Thing, I’ve missed you! How are we gonna start this day?”…and all the while all I could see was her rouge smile, while in the back of my mind knowing how ill she was, yet she saw past the disease and chose to live her life.  Her’s, as well as the experience from others, made me re-think those little things that I get worked up about, that we all stress about, and that we allow to ruin our day.  I thanked all of my patients at the end of the month, wished them well, sat in my car and and just cried, not wanting the month to end and not wanting to lose these patients.

Who would have thought that dying patients would teach me how to live. One day at a time.

Weight

Two weeks ago I reviewed my previous work-outs and saw that P90x (lean) made me put weight on and it was by no means only muscle weight. I went up a dress size and felt uncomfortable.   This gain did not make me happy but, like I said above, I have chosen to focus only on my activities and wise food choices I make THAT day.   I have several goal dates in mind (long term) but refocused on the short term goals by staying in the now.  With this mindset, a change in my exercise routine, a new exercise partner (mini-me, baby sis), discontinuing P90x (because there is not nearly enough cardio), I have lost two pounds this week.  This loss occurred despite going out to dinner and enjoying a few fantabulous vanilla bean cupcakes with Nutella frosting that I made for  my heme/onc nurses & attendings.

Recipe

I’ve chosen my French Onion soup because, like the experiences I’ve had this month, it’s simple, full of flavor, and the simplicity gives it it’s divine savory flavor. How fab does this look!?


French Onion Soup
As adapted from Gourmet, 2006

Ingredients

  • 2 lb medium onions, halved lengthwise, then thinly sliced lengthwise – **I actually used sweet onions**
  • 3 sprigs fresh thyme
  • 2 Turkish bay leaves
  • 3/4 teaspoon salt
  • 1/2 stick (1/4 cup) unsalted butter
  • 2 teaspoons all-purpose flour
  • 3/4 cup dry white wine – **I used equal amounts of Gewurtztraminer for the sweetness and acidity to offset the savory croutons and broth**
  • 4 cups reduced-sodium beef broth (32 fl oz) – **I used fat free, reduced sodium, minimal loss in flavor**
  • 1 1/2 cups water
  • 1/2 teaspoon black pepper
  • 6 (1/2-inch-thick) diagonal slices of baguette **I used freshly made, large cut Butter- garlic croutons** from the Fresh Market
  • 1 (1/2-lb) piece Gruyère
  • 2 tablespoons finely grated Parmigiano-Reggiano to sprinkle atop just before broiling
Prep

Cook onions, thyme, bay leaves, and salt in butter in a 4- to 5-quart heavy pot over moderate heat, uncovered, stirring frequently, until onions are very soft and deep golden brown, about 45 minutes. Add flour and cook, stirring, 1 minute. Stir in wine and cook, stirring, 2 minutes. Stir in broth, water, and pepper and simmer, uncovered, stirring occasionally, 30 minutes.

While soup simmers, put oven rack in middle position and preheat oven to 350°F.

Arrange bread in 1 layer on a large baking sheet and toast, turning over once, until completely dry, about 15 minutes.

Remove croûtes from oven and preheat broiler. Put crocks in a shallow baking pan.

Discard bay leaves and thyme from soup and divide soup among crocks, then float a croûte in each. Slice enough Gruyère (about 6 ounces total) with cheese plane to cover tops of crocks, allowing ends of cheese to hang over rims of crocks, then sprinkle with Parmigiano-Reggiano.

Broil 4 to 5 inches from heat until cheese is melted and bubbly, 1 to 2 minutes.

What experiences have reshaped you recently?

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Getting back on track, again.

September 17, 2010 § Leave a comment

The Gist – short

I’ve had a rough time balancing life and my health for the past few months.  It’s a work in progress. So is my fitness.

Recap – long and full of details.

It’s been a rough few months.  With the start of residency came not only job performance stress as a newbie intern, but very little sleep, very little energy, and nearly no time to sit down to a healthy meal.  I wish I could say this was a gross over exaggeration. My days consist of pre-rounding at 5am and working until anywhere from 4pm(rarely) until 6 or 9pm.  After work all I ever want to do is come home and prep a dinner that the food pyramid God’s would admonish, read a few pages from Harrison’s or NEJM, and spend at least an hour on the elliptical with my favorite punk bands.  Instead, much to my chagrin, I somehow have about 6-7/10 energy level when I leave work and progressively decline to outright sleepy on the way home.  Driving has always been a sedative for me -yeah, watch out 😉 -and I think it might be from the subtle vibration of the car.  Neither here nor there.  I feel exhausted when I finally reach the driveway. I’m left eating from a 4 – 6 pt Lean cuisine or Smart Ones box, reading a few poorly written clinical summaries on UpToDate, and maybe finding time to do a few push ups before I throw myself at my giant cozy bed with every intention of reading a few review articles…..but my eyes are too heavy.  I’m sure this schedule isnt’ that far off from many other folks out there, but it does get a bit tricky with 24 hour calls and overnight shifts thrown in the mix.

Don’t get me wrong, I can say with pride that I love every minute of my job. Every stinking minute.  I love teaching, I love examining my patients, that my mentors LOVE to teach, that I’m grateful to Vishnu, Shiva, Jehovah, Allah, what have you -that I’m in this particular residency program which I’ve dreamed of since I was a kid, I love meandering over to radiology to talk about some obscure CT, practicing a slight smile all day to show my appreciation for work, socializing with my co-workers in the halls with the occasional wink or high-five, really, I love it all.  I just don’t love the fact that it does terrible things to my metabolism, patience, emotional capacity, cognitive abilities, and above all; my waistline. Worst of all, I was getting so frustrated over my crappy schedule because I wasn’t finding time to make it to a weight-in.  No bueno. This started to make me resent my choice of occupation and I would find myself getting less motivated to stick with Weight Watchers because JUST as I’d get ready to leave work for a weigh-in, I’d open my giant mouth to ask someone if he/she needed help with something and I’d land myself a new patient admission.  Again, no bueno.  This is my ASS we’re talking about people, my hips, my thighs and my gut!  And it was all seemingly larger than a few weeks prior.

I gained nearly 4 pounds during that time period and potentially a bit more, ahem, “subcutaneous tissue” around my midsection.  I know what this is attributed to.  It took a few Twitter exchanges with Christina Williams and lots of head scratching while pouring over my food log to figure out why I had veered off my climb to Mount Everest and landed on the Oregon Trail.   Minus one sheep.

What I learned about myself

So here I was thinking that it was simply the lack of time and energy that was crimping my success on weight watchers.  It dawned on me that while my life has changed significatly over the past few months, there is no reason for me to lose control over it. I don’t have an excuse not to eat well. Not at all. I carefully select my groceries weekly, scrutinizing labels and separate portions. So why was I letting myself become lazy – buying lunch from the cafeteria (did I tell you we have a giant SUSHI bar??) or grabbing lunch at a local bar or festival with fellow interns on the weekends (which by the way I refuse to stop doing because my sanity depends on it)?  I was not making terribly poor choices but what I was doing…….was tracking AFTER I ATE.  SUCH a poor idea for me.  This is exactly the opposite of (1) what I should be doing (2) what I had been been doing.  I let the EXCUSE of my hectic schedule get in the way of holding myself responsible for my points.

I had gotten in the habit of using my 35 Weekly allowance points every day…of course not all at once, but I was slowly chiseling at them daily.  Prior to this, I had been saving my points for a dinner out or special occasion.  Well that control was trampled.  The scale was moving up and I was feeling more an more miserable.  I sat down that night of my ( for lack of a better word) revelation, and wrote down exactly what I was going to eat the following day. I also decreased my daily points allowance by 2pts.  I needed to not only give my giant butt a kick start, but I had to re-train myself to stick to a daily regimen.  The following day it worked.  I resumed packing my lunch and making my coffee at home (with my beautiful new Keurig – just to save money thru the year), leaving my wallet in the car so I wasn’t tempted to buy what I didn’t need around my waist. I didn’t go over points AND I had my skinny COW dessert. Win – Win.  This is exactly how I’d been running the show since March and was pretty successful, and here I was again, finding a way to save myself from falling back into old behavioral patterns.

While I need a regimented menu, I also struggle as a fatty-bo-batty who loves…… (sorry I was distracted by the ridiculously hot guy walking his dog down my street)…both quality and quantity in food.  Hence my need for weight watchers to begin with.  Keeping my new regimen in mind, I do allow myself to go off schedule for 1-2 days per week, usually when I’m going to a community event with friends, and I will enjoy a beer or three with some sort of ethnic treat. So that issue is settled. I need to live with my regimen but I never lock myself into it for the sake of my sanity and social life.

Much Ado About My Giant Ass

So now that I figured out how to control my food again, now it was back to square one with my exercise. What the hell was I going to do about my energy and time?   This is one I haven’t quite figured out yet.  I have been lucky enough to have been on vacation and outpatient clinic for the past 2.5 weeks so things are nowhere near as hectic as they had been, so I’ve had ample time to work out multiple times a day.  The question is how I’m going to handle this once vacation is over and I head back to the hospital.

My favorite work outs involve Spin Class every other day, yoga/Bikram, Pilates, elliptical, occasionally running (I had been working on the couch to 5K and hit week 6 but had to tone that way down b/c of my hips, knee and shin splints…despite having a gait analysis for proper sneakers and orthotics) and, as of this week – the 30-Day Shred.  I’m also waiting to get that P90x video in the mail that I was supposed receive back in July…we’ll see how that works out. I’ll hammer something out soon.

What’s my motivation (rewind to late 1990’s Sprite commercials)

Not to add a whole new level of creepy to the blog, but I not-so-recently started following (god, not literally) Bitch Cakes and her blog that feels like a big shoulder to lean on.  Better yet, what I really wanted to write was that she ALSO follows me now…I know, lame…but she’s BitchCakes and rides her HK cruiser AND has made LifeTime, so yeah, I got a little excited.  After having many days feeling that I was just bound to put all of my weight back on, I’d occasionally flip through one of many blogs I read for my little desperate moments of motivation. It was a breath of fresh air to see that like me, all of these fine ladies have struggled to stay on plan and incorporate activity in their life.  They’re all had ups and down’s.  This is not easy. Never has been and I don’t think it ever will be, but it’s a work in progress.  I’d have to say that’s why I’m stoked about Twitter. For as annoying as it is to keep up with 140-character blurbs about everyone’s lunch (including my own until my POS Blackberry’s phone chose to revolt against me), random updates about where everyone is (ahem, me at starbucks all of the time), what they’re drinking (my non-stop mentions of the #PSL), the weird and random sarcasm, who they hate, (hmm, sounds so much like my twitter feed), and loss of productivity, the aspect I find most useful is the fine group of fitness tweeters who help get me back on track.  High-five, you sexy bitches! You helped me get back on track.  Cupcakes for everyone!

So where has all of this thinking, tracking and tweeting led me?

My schedule switched over on September 1st and it’s been much less hectic b/c I’m in an outpatient clinic.  I’ve been back at my previous level and frequency of exercise. This consists of 60-min of spinning every other day (>78% max HR and an average of ~450 cal/session), with 60 min cardio and weights in between. I’ve recently started the 30-day shred but I’m definitely not doing this every day – maybe every other day.

I’ve lost exactly 5.2 pounds since sept 1.  Talk about ecstatic and satisfied.  I haven’t used all of my additional weekly allowance points and I haven’t felt like I’m starving, despite decreasing my points allowance by 2.  I’ve lost a total of 24.4 lbs total Since march, but this has included ups and downs with the occasional 5-lb fatty bastard that sneaked into my plump physique.  I somehow lost 10 pounds prior to WW so I’m at a grand total of 34.4 lbs so far AND I’m about 10 lbs from goal but I think I’d like to push beyond that.  One day at a time. (Side note* here’s an article I posted on Twitter recently that I thought was a beautiful representation of everything we go thru on our journey towards fitness)

Food – Oh is there ever food.  As ya’ll know, I LOVE to cook.  Details aside, I love food so much that I read about it, subscribe to several foo-foo shi shi cooking mags, and even received a Canon Rebel xs  for graduation because everyone knows that I love me some food photog.  And as my life goes, I, of course, have no time to sit down to read those mags more than 2x/month anymore, ergo, I don’t cook anything fantastic anymore.  At least nothing from Bon Appetit or Food and Wine anymore…it’s somewhat time consuming.  But boy do I miss the aromas and the relaxing little place it takes me.  All that nonsense being said, I have taken a few photos of my half-assed lunches, dinners and other crap I’ve made while working on lighting…and seasoning.  I’ve mainly been figuring out a way to make a boxed meal (low points) into a fab meal.

Lunch #1: mixed salad, mixed fruit and, of course, a Kind bar for snack.

Breakfast: Red Quinoa, almond milk, banana, mixed nuts, almond butter, and honey.

Snack: Heirloom tomatoes I picked up from the Farmer’s market. Pricey little bastards, but so delicious with squeeze of lime and pinch of salt 🙂

Dinner: Amy’s Roasted Vegetable Lasagna, spinach/cucumber/tomato salad w dijon-lime-dill vinaigrette, and boiled potatoes. yeah, I pretty much rocked the house with this meal.

These were just little tid bits of my daily meals…I’ll post recipes on another page.

This is all a balancing act, complete with successes and failures.  Some may come in the form numbers on a scale, an ill fitting outfit, over indulgence but in the end there are all things we can learn from.  While I’m sure I’ll trip and fall again, but I’m sure I’ll find a fellow twitter friend who can help me brush off and get to my next goal post. My failures have helped me succeed thus far. (Side note #2* While This article from Success Mag is about Bouncing back in the business world, it’s important to realize the essence of the article is about making a comeback in life.  Getting back on your feet once you’ve hit the proverbial wall.

A few random notes that are not in any way related to my post

1. Eat Pray Love – shouldn’t we all?  – My current read. I relate to it on so many levels…most of which I’ll keep to myself. Read it if you have a few hours to spare and I’d love to chat about it with you.

2. Latest rump-shakers – I have a tiny obsession with music and constantly revamp my work out lists.  I have a tendency to make mixes that are on-the- spot with the intervals I’m doing – I mean to the second!  To spare you my obsessive compulsive mannerisms from henceforth, I’ll just list some of the songs on my two latest mixes.  There’s some over lap but I think you can handle that.  Let me know if you like this stuff 🙂

Mix 1: This is for either elliptical, running, walking – when I’m feeling ridiculously ghetto.  I’m ususally in the >75% Max HR with this mix

  1. rapture – Alicia Keys
  2. Memories ft Kid Cudi – David Guetta
  3. Supernova – Jason Darulo
  4. Dynamite – Taio Cruz
  5. Krazy – Pit Bull
  6. Feel it – Thee-6-Mafia
  7. poker round (fristy remix) – flo-rida
  8. Bad Romance – Gaga
  9. Come Fly away – Benny Benassi
  10. Up – the Saturdays
  11. The Fame – gaga
  12. Cyber Love – Jason Derulo
  13. break your heart – taio Cruz
  14. gettin’ over you – David guetta
  15. Forever – Chris Brown
  16. Turn it up – stereos
  17. la Musique – Riot in Belgium
  18. Meet me half way – Black eyed peas
  19. the way I are – Timbaland
  20. Sweet dreams – Benny Benassi
  21. Satisfaction – Benny Benassi
  22. Can’t stop me now – pitbull
  23. gettin over you – david guetta
  24. shots – LMFAO
  25. sex, lies, Audiotape – DeadMau5
  26. Love is gone – david guetta
  27. Hey! – Laidback luke
  28. Sleepy Head – passion Pit
  29. Finger Food  – Benny Benassi
  30. Satellite – Lena
  31. Beat dat Beat – Dj Pauly D
  32. I need a miracle – fragma
  33. take it off – kesha
  34. calabria 2007 – Enur
  35. you make me sick – pink
  36. thong song – sisqo (you know you love it)
  37. remedy – little boots
  38. outta control – peter andre

I admit, a lot of these are annoying but, hell, if you listen to the beat and ignore the lyrics you’ll be OK and survive. there are a few others but I’ll spare you.

Mix #2: Hotter and better. Love it. I also occasionally listen to this when I feel like a bad ass. I’m usually at <75% max HR with this list. Elliptical and walking.

  1. Heads will Roll – yeah yeah yeahs
  2. Good ol’ Fashion Nightmare – Matt and Kim
  3. magic – B.o.B
  4. Kill me Carolyne – The Whigs
  5. Dashboard – Modest mouse
  6. I can talk – two door cinema club
  7. Whoo! alright – the rapture
  8. This is your life  – The killers
  9. Clark gable – The postal service
  10. Sleepy head – Passion pit
  11. Memories – david guetta
  12. supernova – jason derulo
  13. Bad romance – Gaga
  14. Break your heart – Taio cruz
  15. rebellion – the arcade fire
  16. dog days are over  – florence and the machines
  17. what ever you like (single version) – anya marina
  18. DJ Got us falling in love again – usher
  19. Use somebody  – Kings of leon
  20. Until we bleed – Lykke li

In closing, thanks to all the fine ladies who have helped me past my pity party a few weeks ago. You rock my socks off. Truly.

How do you guys push past through plateaus or those rough patches?

up

August 30, 2010 § 1 Comment

I finally went to a weigh in after 5 long weeks. Up 3.6 lbs. Left with a curled lip and almost a tear in my eye. Let myself go so badly. Can’t wait to start working out again.  I suppose I can’t emotionally abuse myself too badly for this one, after all, I’m still down multiple pounds and I’ve been busier than I’ve ever been in my life so a few pounds will be easy to take off if I readjust my POINTs and pep up my work outs during this month “off”.  I’ts ok.

Might start it off with spin class tonight and some Yoga. I need Bikram so bad.

Some Goals:

I really want to be a foodbuzz Blogger. Unfortunately I don’t think I have enough entries on food or recipes so I guess this month I’ll be experimenting with healthy versions of the recipes in this months issues of Bon Appetit, Food and Wine and sticking with what I find in Cooking light.  I think I’ll also describe more of my restauranting, post pics of me and my cohorts enjoying our rare bits of time off, and post more pics of the upcoming Mount Snow Brewer’s festival on Saturday as well as the Saratoga Food, Wine and Ferarri festival.

Let me know if there’s anything I can do to make this  a more interesting read and bulk my visit numbers. 🙂

It Just Hit Me

August 22, 2010 § 1 Comment

It just hit me that after this week I’ll be more-or-less vacationing for one month.  Planned on taking a trip to Cali and doing nothing but relaxing my mind, hiking, and wine tasting. Perfect.

That also made me feel OK about the way things have been going with my weight over the past two months.  I haven’t been to a weight watchers weigh in for four weeks now although I’ve been occacianally (OK, daily) stepping on the scale to chastise myself for the previous days’ gluttony.  I’ve lost. Not much, but I’ve lost weight and I think some muscle mass has been replaced by adipose. Oh well.  With the easy peasy schedule I have for the next four weeks I’ll be able to work out DAILY and continue watching what I eat. Hopefully I’ll finally make it to goal weight by the end of the term. 🙂

SLUG

August 16, 2010 § 1 Comment

FAT

It’s been days since I’ve worked out. I’ve gone on a run but I haven’t been able to keep up with my C25K.  I thought it was hard to exercise while working nights but this….THIS nonsense is just insane.  Working upwards of 80 hours/WEEK…yes, WEEK makes it damn near impossible to get a decent work out in. I typically wake up at 4:15 am, get my self all gussied up, grab my coffee, head to work to round before 7am. The fatigue. I’m perpetually exhausted, but not in the miserable  way that I was at the VA last month.  This month has been awesome because I can actually use what minimal brain cells I have, but I digress.

SLUGGGG

I’m feeling super sluggish because of my zero booty shaking.  I haven’t done any yoga recently, I was going to start P90X but my lady-friend still hasn’t mailed it to me yet(we’re over a month late on that ), I have barely seen the gym doors, no pilates, no weights, no walks, just a few random jogs. My legs feel like giant 1000 lb LOGS.  I do my best to shake my ass when i can, luckily my sister is in shape and loves to run so she’s a great buddy to have.

Luckily eating has not been as much of an issue. I’ve lost some weight but my gut is becoming a bit more protuberant. Bluuurp.  I really hope my double chin doesn’t make a comeback. yuck.

All for now. Feeling gross. Also haven’t been to a WW weigh in for 3 weeks. nice, right?  Whenever I’m able to make it their doors are locked. Boo.

For the Birds

July 30, 2010 § 2 Comments

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!

July 13, 2010 § 5 Comments

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 🙂

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