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TINAJANE76's Photo TINAJANE76 SparkPoints: (62,281)
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9/29/12 4:43 P

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I was so frustrated with losing and regaining so many times that I was fully prepared to maintain at a weight that was higher than a BMI of 25. In my mind, it would have been better to actually maintain the loss than to get under 25 and gain it all back right away. Like some of the others have said here, I think healthy and sustainable is the most important thing and not necessarily that you're able to get under a certain number.

My name's Tina. I lost more than 90 pounds between March 2010 and March 2012 and have been keeping if off ever since.

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MENNOLY's Photo MENNOLY SparkPoints: (86,722)
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9/29/12 4:36 P

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Actually health insurance is just as necessary since if something happens that requires hospitalization you will be economically crushed without insurance. Plus I have a gyn, a cardiologist, an endocrinologist, and a podiatrist. Admittedly the only ones I see on a yearly basis are the gyn and the endocrinologist but if you need a specialist you need insurance. Medicaid does not cover middle class people with out insurance!

"Bad habits are like a comfortable bed, easy to get into, but hard to get out of." anonymous

Carpe Diem! Seize the Day!

"Arriving at one goal is the starting point to another." John Dewey

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SKIRNIR's Photo SKIRNIR Posts: 5,179
9/29/12 4:18 P

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Wow is that a different way of doing medicine. Interesting that neither were health care law related, all a way to get more regular income and spend more time with the patients you do have, so you can have less patients. But that seems to make health insurance less necessary, but more costly for the patient. Who sees a doctor for the physical each year and 5 more times? As an asthmatic, it isn't uncommon for me to get sick and need to see the doctor for prednisone, or once for a breathing treatment, but not 5 more times than the regular physical. Hmmm, very interesting. Guess that is how they get around the insurance agreed upon rates that seem ridiculously low and it only being those without insurance who pay the full rates.

3/31/12 Trailbreaker half marathon 13.1 miles in 3 hours 13 minutes
4/20/13 Neighborhood Watch 5K 39:17.6
10/5/13 5K Grace Pet Fest 38:47.6
12/1/13 Secret City Half Marathon around 3 hours and 4 minutes
4/19/14 Butterflies for Hope 5K for Lupus 39:23.8 (I hurt my back a few days before, and though it was my first official 5K with some jogging, my back hurt, so was very slow.)


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MENNOLY's Photo MENNOLY SparkPoints: (86,722)
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9/29/12 4:11 P

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This had nothing to do with the health care law and every thing to do with the fact that GP doctors don't feel they are compensated enough. Any concierge practice has different rules and it depends on what state they start up in. My Dr was going to go concierge at least a year before he actually did, but all of the sudden he didn't then a year or 2 later he did. Anyone who wanted to stay with him had to pay an upfront fee of $2000 which is not covered by insurance. For that fee you get to see him for a yearly physical and 5 other times. You need to keep your insurance coverage for any specialists you see. That $2000 covers one patient so a married couple would have to pay $4000. I typically see a Dr. for a yearly physical and maybe once more for being ill. $1000 a visit it beyond my means. His stated reason for going concierge was so that he could spend more time with each patient an then each patient would get better care. If you needed visits above your allowance additional fees would be charged.

"Bad habits are like a comfortable bed, easy to get into, but hard to get out of." anonymous

Carpe Diem! Seize the Day!

"Arriving at one goal is the starting point to another." John Dewey

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NELLJONES's Photo NELLJONES SparkPoints: (206,179)
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9/29/12 3:57 P

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My doctor's office started this before that law. They also stopped taking Medicare. My hubby switched doctors, but before that he had to pay 110% of the Medicare fee upfront and wait for reimbursement from Medicare. They can't fire a patient who goes on Medicare, but any doctor can refuse new patients, and require higher payment in full up front. The concierge service was to be able to give them more money, which does, indeed, result in better service. Not worth it to me. I see doctors seldom, and hubby has a team.

Nell

No one ever got up in the morning wishing she'd eaten more the night before.

Original Goal: 114. Current old lady goal: 106.


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SKIRNIR's Photo SKIRNIR Posts: 5,179
9/29/12 3:45 P

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Are many doctors switching to this concierge service thing in the US? I had never heard of it until you all mentioned it. Is this the result of the health care law?

3/31/12 Trailbreaker half marathon 13.1 miles in 3 hours 13 minutes
4/20/13 Neighborhood Watch 5K 39:17.6
10/5/13 5K Grace Pet Fest 38:47.6
12/1/13 Secret City Half Marathon around 3 hours and 4 minutes
4/19/14 Butterflies for Hope 5K for Lupus 39:23.8 (I hurt my back a few days before, and though it was my first official 5K with some jogging, my back hurt, so was very slow.)


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4A-HEALTHY-BMI's Photo 4A-HEALTHY-BMI Posts: 5,931
9/29/12 12:01 P

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Yeah, especially while in a car on the way to the river for some kayaking! :-)

Never, ever, EVER give up!

From BMI 53 (336 lbs) to under 30. Now aiming for less than 20% body fat.

Media
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Weight chart
tinyurl.com/4A-HEALTHY-BMI-graph

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Goal 155 +/- 3%


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NELLJONES's Photo NELLJONES SparkPoints: (206,179)
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9/29/12 11:38 A

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4A-Healthy, I don't much go for pre-packaged stuff, but those pre-packaged chawing veggies are great!!

Nell

No one ever got up in the morning wishing she'd eaten more the night before.

Original Goal: 114. Current old lady goal: 106.


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4A-HEALTHY-BMI's Photo 4A-HEALTHY-BMI Posts: 5,931
9/29/12 11:00 A

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Yeah that whole "normal" BMI designation (18-25) seems kind of arbitrary and doesn't consider body composition. That's why I picked 'healthy' for my ID. It's not an official term and I get to define it.

Heck, when I started, I was just looking forward to getting out of the super morbidly obese category. (bmi 50+). LOL

And yeah raw veggies are great. I'm working through a 1-lb bag of baby carrots right now. :-)

Edited by: 4A-HEALTHY-BMI at: 9/29/2012 (11:05)
Never, ever, EVER give up!

From BMI 53 (336 lbs) to under 30. Now aiming for less than 20% body fat.

Media
tinyurl.com/4a-healthy-bmi-me
dia


Weight chart
tinyurl.com/4A-HEALTHY-BMI-graph

Blogs
tinyurl.com/4a-healthy-bmi-in
dex


Goal 155 +/- 3%


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NELLJONES's Photo NELLJONES SparkPoints: (206,179)
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9/29/12 10:57 A

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Mennoly, my GP converted to a concierge service, too. They can't require me to join, and cannot turn me out by law, but they can cut back on the service they give me. I really need to do something about it, but I only see them once a year so I forget until it's too late each year.

I spent my life fixated on my weight, which in my mind I associate with my reflection in the mirror. BMI hadn't been invented when I lost my weight, so I've never made the jump to caring about that number. If I had to pay attention to calories or nutrients, I'd go nuts and do nothing. I just eat so many exchange selections each day, mix and match, and it works out in the end. The simpler I keep it, the better off I am.

Of course calorie restriction is the key to everything and every once in awhile I find a "find". I get the Dole classic iceburg salad mix at Costco or Sam's, a 3 pound bag is $2.99. A pound of that stuff is 80 calories (concentrate on the POUND part) and takes about 20 minutes to eat. It's a huge amount, fills me to the top. For nutrition freaks there's not much there, but so what? I put a cup of buttermilk sweetened with Splenda over it and chaw away for lunch every day. If I wanted to I could eat all 3 pounds and weightwise be fine, but even I can't eat that much.

Thus I find ways to keep my weight low and steady.

Nell

No one ever got up in the morning wishing she'd eaten more the night before.

Original Goal: 114. Current old lady goal: 106.


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MENNOLY's Photo MENNOLY SparkPoints: (86,722)
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9/29/12 10:29 A

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I too am coming to realize that obtaining a "healthy" BMI is unattainable. Although I am slowly still losing weight (1 to 2 pounds a month) I am currently 13 pounds above a so called healthy BMI. I am not sure I will ever reach that. My goal is to lose 7 more pounds. I have no health issues other than low thyroid function which is controlled by synthroid. My resting heart rate is 45, my blood pressure is 110/70. Sometimes those numbers on a chart are just that numbers. A person is more than just their BMI. My endocrinologist did not feel that reaching that "healthy" BMI was necessary. I am seeing a new GP next week and am curious what she will say. (I left my long time GP because he turned his practice into a concierge practice and I could not justify spending $2000 on top of health insurance for my typical 2 visits a year.)

"Bad habits are like a comfortable bed, easy to get into, but hard to get out of." anonymous

Carpe Diem! Seize the Day!

"Arriving at one goal is the starting point to another." John Dewey

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LJR4HEALTH's Photo LJR4HEALTH Posts: 32,265
9/29/12 8:13 A

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Karen I totally understand the fight hormone changes along with the rheumatoid autoimmune disease I was doing fine until the doctor put stress on me about a "number " that I should be according to the "chart" I did maintain for a year at a higher weight then what the so called "professionals" thought was best for me. With the RA it will make you tried after a good work out especially if you are in a flare up . In the end It's about "our bodies" and I am beginning to think the body will tell us where it is the happiest and healthiest at and it most likely will be a different place then what the good ole stressful '''''charts" state is healthy for us.

Good fro you maintaining where you are the body will tell you when its ready to be at another weight Good luck with your RA

Linda (Florida - Eastern Standard Time )

I am " (we are) spiritual beings having a human experience " Pierre Teilhard de Chardin

Amethyst BLC Fall 2012 to Summer 2013

2012 Fall 5% Challenge Community Team Casual Travelers t0
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Previous BLC 17 to BLC 20

“Fail to plan, plan to fail.” Carl W. Buechner


TORTISE110's Photo TORTISE110 Posts: 4,210
9/29/12 5:58 A

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Second full week on maintenance and I think I know tracking and weighing will be a must to maintain. I get distracted otherwise and get "unreal" about portion size. For me I figure it is accepting my reality.

Toni
Go slow to go fast.
Maintaining since September 15, 2012


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SKIRNIR's Photo SKIRNIR Posts: 5,179
9/28/12 11:54 P

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the only thing I will add, is that I have managed to get to goal weight and a healthy bmi through mainly walking. Yes, walking regularly makes me hungry, so I had to find filling things that are somewhat low calorie to be able to stay in a loosing range. (Now in maintenance calorie range.) But I think it can be done. I did have to challenge myself some. I walked a half marathon, I have increased my walking speed from about a 17 to 19 minute mile down to an almost 13 minute mile. So I think you could still do it walking. If you like walking, great. If you don't, find something that doesn't hurt so much and do it. But for me, I had to exercise and track. IE when I only exercise and didn't track I gained some back and did not loose until I started tracking calories again. But if you are comfortable where you are, I hear the overweight category for long time life span is quite good.


3/31/12 Trailbreaker half marathon 13.1 miles in 3 hours 13 minutes
4/20/13 Neighborhood Watch 5K 39:17.6
10/5/13 5K Grace Pet Fest 38:47.6
12/1/13 Secret City Half Marathon around 3 hours and 4 minutes
4/19/14 Butterflies for Hope 5K for Lupus 39:23.8 (I hurt my back a few days before, and though it was my first official 5K with some jogging, my back hurt, so was very slow.)


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THECRAZYMANGO's Photo THECRAZYMANGO Posts: 6,468
9/28/12 10:53 P

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I maintained for a year and half at 160.. also, an unhealthy weight according to the experts. But, I think it depends on how far you came and how you live your life currently. Healthy or not healthy? I like looking at the bigger picture.

With that in mind, I have gained a few pounds and working on getting back to that 160. We CAN and WILL do it!!

Edited by: THECRAZYMANGO at: 9/28/2012 (22:53)
-Savannah

Not worth having is easy!




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4A-HEALTHY-BMI's Photo 4A-HEALTHY-BMI Posts: 5,931
9/28/12 10:50 P

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I've been in similar situations, but not with the additional issues of rheumatoid arthritis. This sort of situation takes a lot of commitment and creativity.

You've got the fire, which is awesome, and will continue to be helpful. You've got the information now that not logging doesn't work so well for you.

About BMI, my personal philosophy is that as long as the number is below 30 and above 18, a person is generally in a healthy range and can focus on other things like strength, body composition, etc.

So it seems like you need to decide whether you want to maintain here, or not.

If you do, then congratulations! And come up with a plan for staying here.

If not, then you can implement little changes and aim for sustainable consistent behaviors and see where they take you. A moderate deficit. Perhaps water jogging, for the reasons you mentioned. Perhaps some gentle strength training. Without a crazy expectation about where you'll end up?

Either way is good. YOU get to decide where you want to be. And you get to decide how you'll get there and/or stay there.
emoticon

Never, ever, EVER give up!

From BMI 53 (336 lbs) to under 30. Now aiming for less than 20% body fat.

Media
tinyurl.com/4a-healthy-bmi-me
dia


Weight chart
tinyurl.com/4A-HEALTHY-BMI-graph

Blogs
tinyurl.com/4a-healthy-bmi-in
dex


Goal 155 +/- 3%


237 Maintenance Weeks
 
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WALKIETALKIE's Photo WALKIETALKIE Posts: 282
9/28/12 10:34 P

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Hi. I've been Sparking since 2007 and lost over 60 pounds at one point. I really felt like I was obsessing with diet and exercise. There were other things I wanted to focus on in addition to walking 5 to 7 miles a day. In an effort to cut down on the time spent exercising I decided that I needed to build up my endurance and start jogging. Only problem was, I have rheumatoid arthritis. Common sense would tell other people in this situation to learn to love to swim. Swimming to me is just another name for torture. Crunchy shoulders make throwing my arms over my head to swim exquisitely painful. Plus the water in the face - blechhhh. So why not run the the water? Never thought of it. So I started jogging and logging miles on the stationary bike and jacked up my lower back. Also this past year, I got re-org'd into a different job at work which is currently driving me a bit crazy. It all came together like a perfect storm.

In the midst of trying to lose the last couple of pounds, my body just decided it was really hungry and tired and I began to feel like maybe my goal was unmaintainable. I never got the hang of figuring out maintenance calories with the ticker and with the goal setting tools. Could have been just the wrong goal weight, could have been the fact that walking doesn't really build up cardio endurance like jogging or swimming. Could have been the onset of "the change"-sorry boys, icky girl stuff. All I know is that I'd jog a mile and want to take a 3 hour nap. Over the past 15 months I regained about 30 pounds.

I experimented with not keeping any logs to take my mind off of the constant pressure of losing the last couple of pounds and then the pressure of the backslide. The last year has been an epic fail. I can't change the past, all I can do is try to figure out what will work for me. One thing I know for sure is I'm not going back to 192. I will maintain here if I have to. I am back to a BMI that says I am overweight but I would rather maintain here at 158 and be happy with that achievement rather than drive myself nuts trying to get to a place on the scale that my body and its issues are not going to let me go. If I could figure out how to let my body slowly adjust to new set points and eventually get into a healthy BMI range that would be cool, but I have to do it in a way that works for my creaky joints and allows me to have a life outside of the constant focus on food and the gym. I seem to be able to naturally maintain this weight without a lot of effort. So maybe I just need to be ok here for a while and food journal and participate in the fitness activities that I love like walking and a little bit of jogging and learn from you guys.

I am maintaining, less than perfect, not really sure what my ultimate goal weight should be but not willing to go back to where I started.

Karen

Fortune favors the bold. - Juvenal

Life isn't about waiting for the storm to pass . . . it's about learning to dance in the rain.



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