marc42968's Journal

111 - Two entries in one day?!
Oct 11 2008 22:16

Yep, I'm writing again.  I'm hoping that the positive re-enforcement that writing here gives me can help me stay on track.  After that lo-cal high protein first meal, I had a high fiber, high carb second meal, then tonight I totally screwed up with a high fat  third meal.  So much so I forced myself to do a second round of cardio.

I can't understand what's going on with me at nighttime.  I know the lap-band is doing it's job because I don't feel physical hunger during the day, but after five pm I'm just getting this big psychological urge to pig out.  I think it was easier during winter when it got dark out early, then I would go to the gym from 5-7 pm and do a mix of cardio and weights.  After that any hunger I had was appropriate.

One thing I didn't mention before is that I have a nurse practioner student with me at the office for the next two months.  The nice thing about teaching is that it keeps me honest about why I use certain techniques or treatments.  It's no longer just a matter of habit, I have to explain why one antibiotic is better than another.

She's not interested in going into pediatrics (she thinks cardiology is her suit) bur I believe that the basic lessons needed for pediatrics (exam skills, thought processes, and of course, patience) will serve her well.  She was also fascinated by my wieght loss with the lap-band and joined me at one of my support group sessions I attend.  With the cardiologist she works with she thinks she knows several patients who could benefit from the procedure.  Unfortunately I had to explain all the risks as well as some of the psychology of the procedure and explain how it's not the right thing for everyone.

Time to turn in.  The Fox reality channel has a Biggest Loser Season 4 marathon on tomorrow.