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attitude

More musings on the news from my x-rays & MRI.

Am I scared of getting worse and worse, of having surgery, of having a surgery that has less than optimal results?

Absolutely.

Like everybody else, I have a fear of ending up with a profound disability.

But here’s the bottom line: I will never give up.

I. Will. Never. Give. Up.

I have a feeling bodypump class is going to be out for a while, as the last time I had a bulging disk I had to eliminate for six months all movements that put a vertical load on my spine. Also, even though we use weeny weights in bodypump, it’s probably better for me not to subject my bulging disc to squats and deadlifts.

No problem. Yes, I’ll miss the class, but as my much-admired, brainy, funny, hardass dad used to say, "Things are tough all over."

Okay–so this is a great opportunity for me to add something new to my repertory. My health club offers aquatic fitness, yoga, and Pilates. I’ll give one of them a try.

I know I can keep lifting weights, as the range of things I can try is virtually unlimited.

I’ll keep doing the elliptical trainer unless the neurosurgeon says that’s a no-no.

I can certainly walk.

I just need to call on the old inner strength–and a little heavenly assistance from dear old dad, who had about the worst spine imaginable yet stayed active and almost never complained about it.

It’s Good Friday, by the way. An excellent opportunity for us to contemplate the mystery of suffering. And, if one is Christian, to unite one’s sufferings with those our Redeemer willingly bore in order to take away the sins of the world.

good news, bad news

My plan for today was to post a summary of how I’ve changed in the past 18 months. Then I spoke to the neurosurgeon’s nurse and learned, in brief, the results of the x-rays and MRI performed last week.

It could be worse–I mean, I could have a tumor or something. The results in brief: I have a bulging disc I didn’t have before, though how in the world I injured it, I don’t know. The first injury–to the disc at L5/S1–occurred in 1986 or ‘87, and if I went back to my workout logs, I could pinpoint the day. I was deadlifting without adequate warmup after a deadlifting hiatus of about six months. Don’t try that at home, folks.

The new disc problem was a surprise.

The fact that I’ve got some degenerative stuff going on (another word for osteoarthritis, or "wear and tear") wasn’t a surprise. So that’s number two.

Number three: I’ve also got some narrowing in the lumbar spine (lumbar spinal stenosis). In a word, there’s not as much room for my spinal cord as there should be.

I won’t panic till I hear what the doc says, but surgery may be needed at some point.

I permitted myself four Hershey kisses and a small chocolate heart. Figured a proper pity-party needed a modicum of chocolate.

More later, after I speak with the neurosurgeon on April 1.

Ready for the good news?

On Sept. 15, 2003, I weighed more than ever before–162 pounds, to be shockingly precise. My best guesstimate is that my body composition was about 37 percent fat (gak!), which means I had about 102 pounds of lean body mass (LBM). I was wearing size 14 trousers, and I could no longer squeeze into my size 12 Rider jeans, which have the virtue of running large.

I began a "diet" (Atkins–shudder) and talked my friend Anne into joining Curves with me. Even then Curves seemed awfully wussy for a former bodybuilder, but hey, it was a workout of sorts, and the 30-minute duration appealed to me. About the same time my husband and I began the habit of taking four of our dogs for a 30-minute walk each morning.

By the end of November I’d lost about 10 pounds of fat. By the middle of May I was thoroughly bored with Curves, talked my friend into joining a "real gym," and had lost only about another five pounds.

Along the way, I had punted Atkins. I wasn’t hungry, but I couldn’t sustain even thrice-weekly Curves workouts and daily walks on restricted carbs.

I hadn’t wised up about food yet, however. I still refused to count calories, but I shifted to the South Beach diet.

Last spring was tough, as my father was dying of cancer. My weight stayed pretty much stable throughout the painful process of his death, and I managed to get in the gym about twice a week.

Once I began to emerge from the grief, I started hitting the weights harder and increasing the cardio portion of my workout.

I began 2005 weighing around 145, with a LBM of 109. That means my bodyfat had dropped to about 25 percent. I’d lost 24 pounds of fat and (re)gained 7 pounds of muscle.

By that time my focus had shifted entirely to 1) eating healthy, 2) controlling portion size, and 3) exercising a lot. In late January I started counting calories and doing the zig-zag thing: mild caloric reduction (1,800 to 1,900 kcals daily) for three days, maintenance eating for a day, then back to three days of mild caloric reduction.

Zowie, Batman, did that do the trick. On Jan. 29 I weighed 145; on Feb. 17 I weighed just shy of 140; on March 17 I weighed 135.4 (where I’m currently sitting). My bodyfat is about 19 percent, with my LBM holding steady at 109.

I’m wearing size 8 trousers and size 6 jeans (generous cut, remember?). I have an entire closetful of clothes I bought years ago and can finally wear again. Did I mention that I have tons of energy and feel absolutely terrific (with the exception of the occasional back back-pain day)?

If you want more detail, here’s the routine:

*six days a week, walk dogs 30 minutes

*two to three days a week, work out intensely with weights, 30 to 45 minutes

*two to three days a week, work out intensely on elliptical trainer, 30 to 50 minutes, at 80 to 85 percent of maximum heart rate (calculating max with the 220 minus age formula)

*one day a week, body pump class, 60 minutes

*calorie zig-zag as indicated above, focusing on plenty of fruits and vegetables, whole-grain carbs, low-fat dairy, lean meat, and limited amounts of whatever else I want to eat and can squeeze into my allotted calories for the day.

Jeez, what a lengthy post.

supersized MRI

Saw the neurosurgeon today–the same man who diagnosed my bulging disc between L5 and S1 in 1986 or ‘87–to find out what’s up with my lower-back pain. Some days are great; others not so great. In any case, I’m going for an MRI this afternoon. It’ll be a relief to find out what’s going on.

While I waited, the doctor’s nurse scheduled the MRI at another facility. I heard her ask the MRI person, "What weight can it accommodate?" When she got off the phone, she said, "I wasn’t asking because of your weight." [I'm currently 137.] "I was just curious because some facilities have new larger-sized MRIs that can accommodate people up to 450 pounds."

I said, "I’ll bet that wasn’t the case 20 years ago." She agreed it wasn’t.

On the bright side, my blood pressure is great: 110 over 63. I’ll keep you posted on the MRI results.

Apropos of weighing 450 pounds, here’s an AP story on MSNBC.com about whether adults need–or are likely to attempt–the amount of exercise proposed by the latest federal health guidelines:

90 minutes of exercise a day? Not likely …

Sixty to 90 minutes of exercise? Every day? That’s what the government
now suggests. But experts say most folks won’t consider that and add
that the recommendation for 30 minutes a day is enough for most.

Brilliant concept: "experts" agree that the amount of exercise one requires is partly determined by how much one weighs. The fatter you are, the more you need.

The article includes some intriguing charts showing the dramatic rise in the percentages of Americans who are overweight or obese now and in 1960. I should have copies made for all the people I’ve heard recently suggesting that the obesity epidemic is caused by "genetics." Yes, genetic components play a part. But our genetics haven’t changed in 45 years.

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Barbara J. Rolls: The Volumetrics Weight-Control Plan: Feel Full on Fewer Calories
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