<p>BB, you’ve been doing a lot running. Have you lined up any races for fall?</p>
I think I could do those leg curls. I haven’t put my numbers into the calculator today. Our son is two days away from leaving for Jordan so we took him out for BBQ yesterday and today and ate the leftovers for dinner. And I made an apple pie. And my Chinese friend from Caltech sent us mooncake. Not good.
<p>If I were closer I’d be happy to take the mooncake off your hands, Mathmom. ;)</p>
We ate it up. But I could make more! He makes it for every reunion, and taught us as well. (He was forced to be a baker during the Cultural Revolution, so his cooking is excellent.)
<p>mathmom, I heard mooncakes ship quite well… Deborah and I would love to help. :)</p>
<p>Deborah, I do not have any races planned - yet. If I do sign up for one, I’d be running way more than I’m doing now.</p>
<p>My dinner tonight would have made idad proud: steak and broccoli with unsweetened tea. I think I will have a peach for dessert!</p>
I’m not sold on the anthropological theology of the paleo world, but I think Primal Blueprint author, Mark Sisson, has a fantastic way of looking at nutrition and fitness. He’s a Williams College alum who was on the borderline of qualifying for the US Olympic marathon team back in the day. This is a really terrific interview:
[Low</a> Carb Paleo with Mark Sisson - YouTube](<a href=“http://www.youtube.com/watch?v=Um-a61rClSs]Low”>http://www.youtube.com/watch?v=Um-a61rClSs)
<p>Another day, more free food - half a birthday cake and a container of cookies from Cascia’s Bakery (never heard of them). Fall temperatures are on the way - it keeps getting cooler.</p>
<p>H and I were at a wedding last weekend and declined the cake. 
I hope I’m getting him to realize it’s mostly sugar and Crisco.</p>
<p>We headed back to the buffet line to nosh on more cheese cubes.</p>
<p>And I feel like I had a workout every day last week, watching my grandson. Either I pushed the stroller on long walks, or my grown S pushed it, which meant we walked even FASTER. :)</p>
BC, they do bring in a lot of temptations there, don’t they? Here’s another idea. Since it seems like the treats arrive on almost a daily basis, perhaps have a set number of times per week or month you’re willing to indulge in office sweets, for example once a week or something like that. Would having your own personal food rule of this kind help?
<p>All of the cookies are gone - that was fast.</p>
<p>There’s your answer! Don’t come into the office until after 11:00, by which time every last crumb should be gone. ;)</p>
<p>The new definition of disability under the AADA is so broad that I’m wondering (as an employment lawyer, in part) if we could argue that the inability to resist office junk food is a disability and harms our health so we need to leave the office whenever food appears! Sounds like a plan to me!</p>
<p>iDad- Williams recruited WildChild very strongly and we loved the coach. I got to go on the recruiting visit and I was ready to enroll! I ran there while we were visiting.</p>
I don’t have to worry about temptation if I bring in my own food - but that means that I have to be diligent about preparation which means that I need the raw materials at home to cook or pack in the morning.
The topic of discussion on the radio was interesting this morning. There was a story about a doctor refusing patients over 200 pounds. Apparently there had been three of her employees injured moving obese patients in the past (this was from the radio show). The show also discussed the movement to capitation payments where the health insurance companies pay doctors a fixed fee to take care of patients. An obese patient would probably cost more to care for than a normal-weight customer and it may make more economic sense to go after the normal-weight clients. It may be that health insurers may need to pay more for obese patients under these fixed-fee plans.
[Doctor</a> Refuses to Treat Overweight Woman](<a href=“http://www.wtvy.com/home/headlines/Doctor-Refuses-To-Treat-Overweight-Woman-167499085.html]Doctor”>http://www.wtvy.com/home/headlines/Doctor-Refuses-To-Treat-Overweight-Woman-167499085.html)
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<p>It’s a gorgeous area. I’m thinking about a hiking trip out there to hike Mt. Greylock sometime. I’ve driven up. I’ve ridden a Flexible Flyer sled down the road (a little ways), but never hiked up. I don’t think I’m quite ready and it will have to be an overnight (spur of the moment based on weather forecasts) because it’s too far to drive, hike, and drive. I did order the AMC map of the region and I’ve started thinking about routes. It may end up being next summer, I don’t know…</p>
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<p>I would have more sympathy for doctors if they had advice that would actually help people lose weight. Much of the standard health policy stuff for fat loss and exercise they tell their patients isn’t helping at all.</p>
<p>I listened to an interview with Dr. Stephen Phinney on questions from people who were struggling to lose weight. The issue of calorie restriction came up. He said that he had done metabolic rate calculations on thousands of patients over the years and he had never found a single adult, over 5 feet tall, who wasn’t bedridden, who didn’t need at least 1200 calories a day just to cover their resting metabolic rate. So the idea of trying to restrict calories to those levels is doomed to fail. Even if you lose weight, you’ll be cannibalizing lean muscle, making it almost impossible to keep the weight off. But, think of all the people trying to diet that way…</p>
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<p>I imagine that this doctor is pretty popular if she can do this. She said that two prospective patients lost enough weight so that they could be her customer.</p>
<p>The doctor may be right, though to direct patients to UMass Medical which has the special facilities to handle obese patients. They are not that specific in their approaches but they do have targetted programs.</p>
<p>[Weight</a> Center Programs | umassmemorial.org](<a href=“http://www.umassmemorial.org/our-care/weight-center/weight-center-programs]Weight”>http://www.umassmemorial.org/our-care/weight-center/weight-center-programs)</p>
<p>They don’t provide much information, but it looks like the UMASS program leans towards gastric bypass and banding bariatric surgery:</p>
<p>[Easing</a> Burden of Obesity | umassmemorial.org](<a href=“http://www.umassmemorial.org/support-groups-and-education/health-articles/easing-burden-of-obesity]Easing”>http://www.umassmemorial.org/support-groups-and-education/health-articles/easing-burden-of-obesity)</p>
<p>I don’t think 200 pounds is that heavy. Seems like a pretty low threshold to refuse patients, but I guess picking and choosing patients is probably the wave of the future. Probably best for everyone involved it this case. I doubt that doctor would be very supportive of a weight loss patients.</p>
<p>24 mins w/30 sec sprint at the end. The geese were having a major chow down.</p>
200 pounds is for women. I don’t know what the weight limit is for men.
At a certain point I think size could become an issue in being able to effectively administer care and treatment. No way is this limit at 200 pounds. For a middle-aged women is about 80th percentile, for a man around 65th percentile. That’s a lot of people to exclude.
I don’t have a lot of respect for a doctor who cherry-picks their patients, turning their back on the ones who need help the most.
Maybe this doctor needs to get her employees on an exercise program so they can more effectively help heavier people.