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November 22, 2007

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MarkD

Scott, this seems a rather inappropriate entry for Thanksgiving week. We are Americans after all. Our president has urged us, in this time of difficulty, to shop more. Don't you think it a bit unpatriotic to suggest eating (and therefore shopping) less on Thanksgiving?

I have always tried to live by a simple axiom; walk more eat (and drink) less. I think it has stood me well these past 30 years. I am a little thicker around the middle then I was 20 years ago, however I have managed to maintain my weight within a 10 pound weight range for over 20 years now. Simply by following my simple rule. People laugh at me because I always park a great distance from my destination. I tell people it is because I have bad parking karma - but the truth is - I purposely park far away from where I am going. And if I can, I just leave the car at home and walk.

As for fat-free foods, I agree with you. What is the point of dairy without fat? In many instance the substitutes in 'fat free' food are usually more dangerous than the fat itself - particularly for diabetics. However, in spite of all my virtue in this area. I too have developed reflux disease. I too was prescribed Losec daily for life, and I too have found an alternative approach. I still take Losec but I found I can control the disease by taking the pill only three times a week.

Anyway, it is Thanksgiving. Time to go back to the table and eat all the fat and sugar I can find!

Happy Thanksgiving to one and all.

Marcus

Interesting post Scott. For years Helen has disparaged artificially fat-free foods, especially (now that I think about it) fat free dairy products.

Perhaps this is the year for iconoclastic thoughts during Thanksgiving week, from this blog post to the new film "What Would Jesus Buy?" That's a good thing.

T Scott

I did have just a little twinge of guilt at posting this on Thanksgiving Day. But I got over it.

Bruce the Almighty

You and me both. I have lost about 15 pounds through eating less and exercising more (walking at least 45 minutes a day) and I feel great too. I had heartburn regularly which has now gone which certainly makes the whisky drinking easier....

datamuse

Your story reminds me of when my martial arts instructor, who is in his early 70s, was diagnosed with diabetes a few years ago. His doctor put him on a healthy diet and told him to get more exercise.

He did both of these things, lost about 20-25 pounds, and when he returned to the doctor for his next appointment, the doctor checked his blood sugar and said in surprise, "It's normal."

"Of course it's normal. I did everything you told me to."

Beat.

"Nobody EVER does what I tell them to!"

My instructor was startled that the doctor would give advice that he knew wouldn't be followed, but given the number of diabetics I know who don't adapt their diets for the sake of their health despite the risks, I can't say I'm surprised.

T Scott

I remember being startled when I first came across the MeSH heading "patient compliance" when I first went to work at NLM in the early eighties. I just checked PubMed and there are over 12,000 articles for which that's the main point of the article. One of the advantages of having a good personal physician is that someone who really knows you can tailor therapies and advice to what they think you are actually going to do. We've lost some of that in these days where you're just bounced from specialist to specialist who don't really have a chance to get to know anything about you.

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