Let me preface this post by saying that I am a huge admirer of folks who have the drive and commitment to pursue a career in a medical field. I have relatives as well as many good friends who are nurses, doctors, dentists. And damn good ones at that.
One thing I have noticed that sets people in health care apart, what separates the wheat from the chaff? The ability to admit NOT knowing everything, along with a willingness to find an answer. The best and most skilled physicians I have known are the ones who listen to their patients, ask questions, and are open to learning more as medicine advances.
There is a reason I have had the same doc for the past 9+ years, and why I will not allow anyone else to care for my children. From day one, if I have had a question regarding anything from a medication to a procedure to a concern about an allergy, he’s given me a straight up answer. And if he did not know the answer right away, he never once made something up to appear more knowledgeable. He always said he wasn’t sure, but would find out and get back to me. THAT, I can respect.
So, after this little introduction, we come to the event that pissed me off enough to bring me out of a two month blog hiatus.
I had an appointment this morning for a check in at the place where I get my B12 fat burner shots. It’s all part of my get healthy program, and this morning, I saw a PA I hadn’t seen before. As soon as this woman walked in, I was immediately turned off by her. One, she barely introduced herself before she launched into some sort of a lecture. Two, she did not listen to anything I had to say. She looked at my chart and saw that I did not lose weight during October.
I did not expect to lose anything in October. I was on a new medication. I felt like shit. I barely slept the entire month. I exercised maybe 5 times. I didn’t pay attention to my eating plan AT ALL. Honestly? I was pleasantly surprised I didn’t gain.
So, this gal who comes in weighing probably 100 lbs (skinny fat, btw, no muscle tone at all), looks at my chart, and starts talking to me about carbs. She tells me to track my carbs and eat no more than 30 grams a day, even though I’d already said I’m lifting weights 4-5 times a week, doing cardio 5 days a week, and started with a personal trainer.
I told her that I cannot go that low on carbs, because I’m doing a lot of resistance training, and that I cannot go into ketosis on the medication I’m on (which was clearly stated in my chart, btw)… so she tells me I won’t go into ketosis at 30g of carbs a day! OMG, WTF?
Here’s how that conversation went:
Dr. Genius – “You need to keep your carbs at 30 grams or below per day.”
Me – “I’m not going to do that. With the resistance training, that’s not going to provide enough fuel, and I cannot risk going into ketosis with the anti-seizure I take for my migraines I told you about.”
Dr. I Know Everything Because I Went to Medical School Therefore I Think You’re a Fucking Idiot – “Oh, you won’t go into ketosis at 30, you probably won’t even at 20.”
Me – “Really? That’s funny, because I’ve done Atkins, I don’t know, probably 10 times at least in my life, and at 30 grams of carbs I’m in moderate ketosis most of the time, at 20, in dark purple. I usually don’t go out of it until I’m over 40 grams, closer to 50.”
Dr. Will Not Admit That I May Be Wrong – “You definitely need to keep your carbs as low as you can, or you’re not going to lose weight.”
Me – “I think you might want to do a little research on the medication I’m taking before you dole out that particular piece of advice. If I hadn’t been made aware of the damage that could have been done from what you’re telling me, I might have very well caused myself permanent kidney damage. Not everyone is as vigilant when it comes to that, and trusts what their doctors tell them implicitly.”
Dr. Well Now I Look Like an Asshole So I’ll Change Tactics – “Personal training can stress out your body, and exercise makes you hungrier, so if you find your appetite increasing from the extra workouts, scale them back so you lose weight.”
Me – “Wow, are you fucking kidding me? If I start getting hungry because my metabolism is working better, and I’m building muscle, I should stop making my body healthier so the scale looks better the next time I come in here and you can write a lower number on your damn chart? That’s probably the most ridiculous thing I’ve ever heard in my life. Are we finished here?”
Dr. Please Get This Bitch Out of my Exam Room So I Can Talk to Someone Dumb Enough To Believe My Crap – “I think that’s it! Have a good day and remember to watch those carbs!”
Me – “Am I being Punked?”
Ugh. Seriously. I was so mad when I left there. Not so much for me, because I know enough about my body to take what is beneficial for me (the B12 fat burner shot), and ignore the bullshit I don’t need (the advice from the skinnyfat know it all no muscle tone PA on a power trip), but a lot of other people don’t. They haven’t done the research. They may not know the possible disastrous side effects from what this bozo is telling them to do along with the medications they are taking. They may believe that exercise is bad.
Pisses me off.
Over the years, I’ve learned what works for me, what works best for my mind, body and soul. I was thinking about my meeting with my new trainer Tuesday morning. How we talked about my history, my goals, what I want my body to look and feel like. We talked about food as fuel for performance, as a tool, part of the package.
I thought about the complete difference between that and the appointment I had this morning, where there was nothing but a laser focus on the number on the scale.
I don’t care what the scale says. Seriously. I don’t care as long as my body fat is lower, my body is lean, I am stronger, and I can get into my ass-tastic sexy jeans.
When I compare Miss Know It All whose body I have no desire to have to the rock hard, ripped, lean, healthy body found on the guy who wants to help me get back to my best, strongest self? There is no comparison. He wins, hands down.
She can take her shitty, dangerous advice and go pound sand.