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One of the men I work with has a major weight problem.  We've tried many things to help him.  He never over eats at meal times at home.  He has an overwhelming sweet tooth coupled with an aversion to motion (excercise).

We have tried dieting together.  In a six month time span I lost 40 lbs.  On the identical diet he lost 4 lbs. in the same time period.  He had a minor heart attack.  After recovery his cardiologist sent him to a rehabilition program.  He wouldnt attend unless I escorted him.  We faithfully went three times every week for eight weeks.  He was very successful.  His weight dropped significantly and his heart rate and blood pressure showed great improvement.  Now he refuses to continue the program.

In desperation we had a long discourse with the psychiatrist he regularly sees.  She tends to use a very gentle and sympathetic approach with him.  Sometimes he gains ground with this method so I had great hopes for him.  He admitted that when he is out of my sight he stops for 'snacks'.  On a daily basis his snack regimen could include two or three pieces of carrot cake, a large frappacino to wash them down, a piece of pumpkin pie (maybe two) with a cola for rinse, five or six donuts moistened with coffee fortified with sugar and cream.

Doctors' theory was to explain to him that he would be most successful if he didnt attempt to give up all treats but rather to limit the quantity.  Her suggestion was reduce the intake to one treat a day and we'd look at the results in a month.  After the month of 'one a day' there was no change in weight.  We finally figured out that he had translated the meaning of 'one a day'.

One piece of carrot cake with one frappacino.

One piece of pumpkin pie with cola.

One donut with fortified coffee.

Somewhere he added 'repeat several times daily'.

He really is sticking to the letter of the law.  Never more than one of each item.....at the same sitting!

I guess I have to give him points for trying to make the system work in his favor. 



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Comments

  • queenparanoia said on Jul 02, 2008....
    oh well... it's funny though one a day...
     
    it remind me of joke here about the the ex-president erap estrada...
     
    because of his high blood pressure, the doctor told erap the he could only eat animals that can swim.
     
    the next day the doctor found erap in the pool... he's teaching the pig how to swim... =)
  • soaringraven said on Jul 02, 2008....

    He reminds me of a friend of ours who insisted that she really didn't eat all that much at all but was dangerously overweight.  My wife would sometimes spend entire days with her and her description of the poor lady's habits were quite similar to those of your friend.

    She did indeed eat light at meal time, the problem was that she ate nearly constantly throughout the day, downing high calorie snacks and beverages at an alarming rate.

    When she finally tipped the scale at over four hundred pounds she decided it was time to change her ways. 

    soaring

  • uniquely-ironic said on Jul 02, 2008....
    sounds like something I'd do. 
     
    It sounds to me, despite his heart attack, that he cannot break his addiction to sweets.  Maybe complete withdrawl is the better option in that case.  After all, you wouldn't recommend "just one drink" a day to an alcoholic.
  • MissMimi said on Jul 02, 2008....

    Botty, I seem to remember you saying that the men you work with are mentally challenged. (Forgive me, I don't remember the latest PC label.)  Does he understand why he has to change his eating habits?

    I tend to agree with Uni about this.  I had to cut them out completely for a couple of months until I had a handle on the rest of the dietary changes I had to make.  Not saying it's easy -- God knows it's not.  But if he needs to, then he needs to.  His success while in cardiac rehab wasn't enough of an incentive?

  • uniquely-ironic said on Jul 02, 2008....
    Hey!  You could try the whole dog chasing the rabbit on a rail thing but use cake.  You know, dangle a piece of cake just out of reach ..........
  • botoni said on Jul 02, 2008....

    Queen....I really intended this 'one a day' thing to be humorous but it just didnt come out that way.  I guess Estrada was lucky his doc didnt say just things that fly.  Teaching a pig to fly aint easy.

    Soaring....I hope he really doesnt hit 400!

    Uni......We ve tried the none at all route.  He will agree when we talk about it but he doesnt follow through.

    Mimi.....If anything he over understands the situation.  It is complicated by a chronic depression that culminates with him saying he doesnt care if he lives.  We ve been down all sorts of routes from medications to counselling to monetary restrictions.  He's really frustrated with everyone trying to persuade him to be more judicious.  Even though he is very clear about the eventual result he doesnt care enough to want to make changes.

    Here is how it goes.  He voluntarily gave up all access to money, gave me his bank card and didnt carry cash.  When he wanted to make a purchase he would get me to go with him and observe his use of his card.  Then he would return it to me.  Three months of doing this.  He gained an average of two pounds every week.  We finally discovered he was taking ceramic items that he had made and selling them to people at his place of work!!!

    He regularly sees and MD, Psychologist, Psychiatrist and a Social Worker.  Not to mention his Home Support Worker and his Job Coach.  All of us are stumped.  Even though he is mentally challenged he is still his own gaurdian and is deemed capable of making his own decisions.  None of us want to just give up on him but he is adamant about either refusing directly or refusing through rebellion.

  • skald said on Jul 02, 2008....
    So you lost a lot of weight your self. Good for you. It was hilarious about the one tread a day. 
  • quietone said on Jul 02, 2008....
    ah, yes, sounds like my kind of diet!!!!
  • botoni said on Jul 02, 2008....

    Skald....Somewhere in that 'one treat' thinking is a lesson for us all.  But darned if I'm sure of what the lesson is.

    Quiet....It really does sound rather Utopian to me too.

  • wombat said on Jul 02, 2008....
    I like Queen's joke there...
     
    Sounds like my kind of diet, too....one a day...one pizza, one milkshake, one cheesecake.......
     
    I do hope he will stick to the diet, though.  That heart attack was a wake-up call that he was lucky to have an alarm for.....
  • MissMimi said on Jul 02, 2008....

    Oh boy, botty, if he's legally able to make his own decisions, then there's not a whole lot you can do to force the situation.  Sounds like the depression is hard at work, and that is so damn hard.  My heart goes out to him.

  • CreativeWoman said on Jul 02, 2008....
    Bless your heart for trying to help him.  My only suggestion would be to suggest meal plans to him where he could have his favorites, but  on a rotation and as a dessert to one meal only.   Lord knows, it's hard to give up things you love.  Congrats on your own weight loss.  Hypnosis is working for me.  Do you think he would consider that?

    CW
  • PassionTraveler said on Jul 02, 2008....
    From the time of Steven's death in October, 2006, and the financial struggles and the deep depression during my grieving period, I had peaked at 260 lbs. and a size 22/24 top, size 20 pant even while attempting Weight Watchers.

    I'm 5'5" and of average build. Slowly as my life began to improve, my attitude improved, my grieving period shortened, my outlook more positive. I still have my moments, but overall, my circumstances have been positive even with a few tumultous issues lately.

    In December of 2007, I was still holding steady at 260 lbs. Holding steady is better than increasing, but I really hadn't lost any weight in quite some time.

    Maybe I was thinking about my impending 40th birthday, but sometime in mid-May or beginning of June, I stepped on the scale after quite a long time and discovered I'd dropped to 240lbs. without really even trying. Just last week, I stepped on it again after a month to discover another 5-lb. loss bringing me down to 235 lbs., not to mention a drop of one blouse size (18/20), and two pant sizes (16) noticed during a recent shopping trip.

    I am not particularly exercising, but take the stairs when possible, walk in the  sand on the beach at least once a week providing resistance, & do strenuous cleaning working up a sweat also once a week, so it's possible that little bit combined with maybe a tad of portion control has caused this pleasant effect.

    But I must say I can totally identify with the struggles of everyone fighting the "Battle of the Bulge". I think I attribute my success largely due to improved attitude and staying busy than anything else.

    PT
  • botoni said on Jul 02, 2008....

    Mimsie....I wouldnt want to hinder his power to make his own decisions even though I'd like to some days.  The shrink doubled his anti-depressant the last trip but I'm not yet convinced it's helping much.

    CW....Since I've been reading about your success with hypnosis I've been contemplating it for myself.  I've mentioned it to my guy and so far he just brushes me off.  I'm holding out till the reno stress is lessened then I'll give it a go.  Maybe if he sees results with me he'll be willing to take a stab. 

  • hotaka said on Jul 03, 2008....
    He can continue enjoying his life like this until a) he drops dead, b) genetic research finds a way to stop humans from gaining weight and not just mice or, c) nanotechnology can help us control what our bodies accept and what they reject.

    My guess is he'll be filling three urns or three plots before that happens.

    But I can sympathize. I thought now that I have to walk over 40 minutes each day - some days almost two hours in total - I would be getting a little thinner. But after being overfed by my MIL this weekend I tip the scales 1 kilo more than before. And just when I was slowly going down too! So I have to cut back on my sweet intake to counter the overfeeding of the weekends. Good of you to support the guy, anyway.
  • Lioness said on Jul 03, 2008....
    Self-discipline. That's what I lack the reason why I can't shed off some of the extra weight. But when I got sick, I had to cut every sweet and acidic stuff I eat. It's really really hard to convince someone to stop a habit unless he himself is courageous enough to take the consequences of becoming healthy.
  • silverwhisper said on Jul 03, 2008....
    o my...could you at least get him to avoid sugar?

    ed
  • nytquill17 said on Jul 03, 2008....
    Botoni, sounds to me like a food addiction, not just simple overindulgence.  Emotional eating (a problem I have myself) is sort of a low-grade version of food addiction.  Food was probably the earliest comfort we knew as babies, so we learn to turn to it when we can feed ourselves.  We know that life is a crapshoot, but food is a guaranteed "high," however brief, of pleasure, comfort, absence from the present moment.

    But this guy is seriously hooked.  He sounds like a drug addict, only his poison is food.  I mean, he lets you take all his money away and then he starts selling things to make more?  That shows a desperate "need" for food just like junkies have a "need" for drugs and will do whatever they have to to get money for it.

    My guess is that for this guy, weight is a symptom, and depression is a symptom, of something deeper.  He's self-medicating with food.  And you don't stop taking aspirin while you're still in pain.

    "One a day," though? Seriously funny! :)

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