Get my asthma under control (read all 9 entries…)
today 19 months ago

did some advanced fancy breathing tests at the pulmonary specialist…

and she seems to think that my weight is causing most of my problems.

(not that i don’t have asthma, but she doesn’t think it’s as severe as others have told me)

I know I should be happy to hear this, and on some level I am, but on another level I’m feel a bit… incredulous and perhaps also a bit angry.

hmm… could it be something to do with the amount of weight she said I’d need to lose to make a difference? (50 pounds)

i think so…

and also, though, besides that, the thing that is throwing me off is not knowing for sure what to think of her methods… which are v. diff from others I’ve seen in the past….



Comments:

catattack loves the Fall!

You know...

I have no business saying ANYthing here, but…(rant time)...

I am really sick and tired of people, especially health professionals, telling me that my weight is to blame for EVERYthing. I guess we could add global warming to that; if I’d just lose some weight, the planet would recover that much more quickly.

However, what you probably need right now is for someone to say to you that we recognize that you might be hurt by that advice, and certainly angry.

Do you like her approach? Do you trust her? Are you motivated by this new approach to do something in your favor?

hmm... oddly enough

her approach is so different, I can’t yet figure it out. (nor can i decide whether it works for me or not)

I learned from dealing with many many different docs when my dad was in and out of the hospital a lot that “good docs” come in many shapes and forms, not to mention personalities… So, while I might at one time have jumped to a quick conclusion, I now am unsure enough of my first impression to take my time.

as for her 50 pound advice, while that may scare me, it doesn’t anger me quite so much, because I know in my heart of hearts that I need to lose at least 36 of those pounds, and to tell you the truth, losing 50 would still only put me at a very healthy 22.7 BMI, while losing 36 would put me at 25.1, which is just tipping into the slightly overweight range….

it’s not so much her advice that bothers me, as the fact that she seems to dismiss my asthma test results as only related to weight… she said that, let me see if I can remember how she put it… that with me being at the weight I am, it is difficult to ascertain how much of my asthma is a result of my weight, and how much is something else…

basically saying that she could tell more if lost the weight.

a HUGE if.

i think that’s what’s bothering me… the fact that she can’t (or is unwilling to) help me figure out what portion of asthma is NOT related to weight.

catattack loves the Fall!

What an objective approach to an emotional issue.

I can see that you really like problem solving.

Good idea. If you could figure out what portion of the asthma aggravation is due to some other factor, then you could do something about that now. And maybe alleviate some of your everyday suffering.

Easy to say. Hard to figure out.

well... objective on screen is different than objective in life

after seeing the doc, i went home, and ate a big salad.

after which i ate a whole Green & Black’s

and several chocolate snap cookies

catattack loves the Fall!

I like that, but..

what are Green & Black’s? Licorice?

Librarian is making progress.

Doctors and losing weight

Having doctors tell me to lose weight was never very effective for me. Lots of doctors won’t do it because there are studies showing it isn’t very effective. The best experience I had with a doctor and weight issues was when I lost a little and he spent the whole appointment telling me how great that was. That was motivating!

OTOH, I lost some weight when I was first diagnosed with arthritis. The doctor didn’t tell me to but I did some research on my own and discovered it was likely to help. And it did. For me, a health benefit in the near future (reduced incidents of pain) was more compelling that nebulous long-term benefits (longer life). Maybe you can find your way more in that direction? Choose to lose weight because you’re convinced it might help and not because the doctor told you to?

On the other other hand, that arthritis thing was good for getting me off my top weight but didn’t lead directly to the weight loss I’m experiencing now. That was baby steps and gradual changes and persistently finding ways to get back to the things that worked when they stopped working for awhile. What’s working for me now is all-natural, often-local foods, but it was a couple year transition to get to that.

Also, I have a long history of pigging out after doctor’s appointments. Now, it’s likely to be a slice of pizza and some ice cream but it used to be things like a large bag of chips with dip or a whole box of cookies.

(This comment was deleted.)

thanks

thanks so much for this comment, dear Librarian… it means much to me that you’ve gone through this and made positive changes for yourself and are willing to share how hard it all is/was, but that you still keep getting up and doing it again.

i just read a Creative Nonfiction essay, where the conclusion reminded me of this ongoing online conversation we’ve been having…

It turns out that the essay was originally featured in Popular Science magazine, and is available online:

What is the Future of Diagnostic Medicine?

Librarian is making progress.

Thanks, bookish!

R and I both liked the conclusion of that article.


bookish has gotten 3 cheers on this entry.

 

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