so, i've been working with my primary care physician with this whole losing weight thing. i hadn't seen her since i think early july or something, so last friday i thought i'd go in and update her (oh, and i wanted some
phentermine...)
my appt. was set for 2. i showed up early, they let me in quick, i was thinking, "sweet! i've never been in and out of here in less than an hour... this rocks!"
and then i had bountious time to read an entire magazine (true story) sitting in the exam room. oh well.
so she comes in. first she wants to check my birth control (
implanon) and asks how my periods are doing. i blah blah my way through it because, remember, i was there for weight loss. but thanks for checking...
then i brief her: "interval walking program, diet plan, really motivated, keeping a food log, awesome friend is helping me, trying to get my calories up to 1200 because right now they average around 700 a day. i want phentermine." that's basically how it went down. i just vomited all that info. out in 30 seconds flat and then sat and stared and waited for ... what? for something... i don't know. praise? "GOOD JOB FOR WALKING EVERYDAY!!" or "WAY TO STICK TO A DIET!!" or "GEE, 700 CALORIES IS MIGHTY LOW THERE KIDDO." or "DAMN YOU'RE DOING FANTASTIC!! SIGN ME UP!"
yah, not so much.
"why would you want to increase your calories if you're trying to lose weight?"
"um, because i only average 700 a day... that's ... kinda ... um ... kinda low ...."
"oh... well, ok. and walking? what's you're heart rate when you're walking? how long do you walk for? walking really isn't going to do anything for you."
"it's speed walking... intervals ... interval training is better... burns more fat. sometimes i jog a little, but mostly walking... it's really fast walking.... fast."
"heartrate?"
"oh, i don't have a monitor. but i can buy one... my heart rate gets up there pretty fast pretty easily."
"and for how long? cause if your heart rate isn't in the cardiovascular zone for more than 40 minutes, you're walking isn't doing anything."
*crickets chirping*
tears welling up
"o. k. so i need to add more exercise. i can do that!" (side note: and i have)
"and eat less."
"less than 700 calories?!?!"
"eat less. exercise more. it's all about calories in, calories out."
here she drew a picture of a cup, or a tube, with arrows pointing in and arrows pointing out, in case i didn't understand.
"so my net caloric intake should be negative??"
"way negative. not including your base caloric output. (what it takes to pump your blood, get air through your body, keep your brain functioning, etc. it's you're weight time 10. that's what the typical person should eat to maintain their current weight ...) what you eat should be less than what you burn doing exercise."
"so if i do an hour walk, say that burns 450 calories. i should only consume 300?"
"well, i don't know the numbers..."
"what about all of the research about low caloric intake causing all sorts of problems?"
"that's not science. gastric bypass patients, basically they have caloric restriction. they might not have the energy to get off the couch, but they're losing weight."
silence. long, awkward silence.
"can i have the medicine?"
"no. your insurance wouldn't cover it anyways because you have low blood pressure, low cholesterol, and low sugar. you're not a health risk."
"but i'm obese!"
"but you're a healthy obese person."
and that was that. i left. no phentermine. feeling like my sore muscles and increased walking speed were unworthy of this butt munch's praise. i cried. a lot. for a long time.
and then i decided i'm going to get a new doctor, and then go work my hind parts off for the next year. and then next fall i'll go back to dr. butt munch for her to check my birth control, and tell her,
"oh i just increased my calories and took some phentermine. worked like a charm."