Archive for the ‘Uncategorized’ Category

26 Jun

Maybe I’m Just a Control Freak.

Posted by hlward in Uncategorized. Tagged: , , .

Probably not.  I’m perfectly happy to let the river flow by while I sit on a rock and stare into the woods.  As long as that proverbial river keeps flowing and the rock doesn’t fall apart and the woods don’t catch fire.  Which is why I rarely get to do that, because something always needs my attention.

Like, for instance, my weight.  I’d have been thrilled to just eat my way to my eighth or ninth decade.  Until it became apparent to me that without me taking the wheel and being intentional about the way I eat and tune my body, I wouldn’t make seven decades, much less eight or nine.

Turns out lots of things are that way.  I find that living intentionally – taking control of those things within my reach – is a hell of a good way to become “lucky.”  I’ll write a whole post (with links) about that one day soon (which might mean tomorrow, might mean November), but for now, let me tell you about a (mostly) daily routine that gives me an strangely high sense of fulfillment.

About five evenings out of seven, I take five minutes or so to “set up” for the next morning’s breakfast.  I get the coffee machine set (and almost always remember to push the “auto” button), find and sort everybody’s vitamins and such, lay out the bowls, cups and mugs and just generally prepare the kitchen for the onslaught of my sprightly daughters.  The five-ish minutes I spend sometime before bed probably saves me fifteen the next morning.

But the time it saves isn’t the issue:  I feel better at night knowing the morning is ready, and I can actually enjoy breakfast with the sprightly ones (my lovely wife usually handles the dressing and brushing, etc. while I shower and then I handle the breakfast while she showers).  By taking control of the morning, I feel in control of the day.  Everything flows better all day long.

The few days I don’t get around to preparing for breakfast, the next day starts in a hole.  Which means climbing out of the hole becomes job one instead of whatever should have been job one.

What does this all have to do with losing weight and/or living healthier?  This whole thing is about being in control of a part of my life that has been consistently, if privately, out of control.  So every bit I can bring into control, the better it all works.

25 Jun

“Why Does That Chocolate Chip Cookie Have Such Power Over Me?”

Posted by hlward in Uncategorized. Tagged: , , , , , , , .

That’s not me asking the question, it’s former FDA Commissioner David A. Kessler.  Dr. Kessler, he’s a pretty smart guy – Harvard MD, Chicago JD, pediatrics residency at Johns Hopkins, ran the FDA under both Democratic and Republican presidents – and a couple of years ago he wrote a book about why we (me, a bunch of you readers, him, etc.) can’t stop eating things we know are killing us.

The End of Overeating:  Taking Control of the Insatiable American Appetite is something you should read if you’ve ever wondered why you are driven to distraction by the dessert menu at Chili’s … even though you just pounded your way through a basket of chips and salsa and the chicken-fried steak.  Or if you’ve ever wondered why your spouse, buddy, parent, kid, etc. exhibits that kind of behavior.

The Wall St. Journal and the New York Times both agree.  This book is worth your time.  Kessler asked the question in my headline of himself, and had the training and resources to figure it out.  He’s not some skinny doc preaching from an ivory tower to the unwashed masses about why we should avoid bourgeois chain restaurants, this is a guy who says (in the Times article) of himself:

“I wouldn’t have been as interested in the question of why we can’t resist food if I didn’t have it myself,” he said. “I gained and lost my body weight several times over. I have suits in every size.”

I feel like we’re brothers, me and Dr. Kessler.  In the WSJ article, he says:

“The one thing I can assure you: At the core, it’s fat, sugar and salt. Not everything activates each of us the same. Here’s the fundamental point: We are wired to focus on the most salient stimuli in our environment. If your kid is sick today, that’s what you think about. For some people it’s sex, gambling, alcohol. For many of us it’s food. And within that category, different types of food are salient. You have to condition yourself to take the power out of the stimulus.” (Emphasis mine)

Several of Kessler’s points are the same  as the Michael Pollan ideas I discussed in a previous  post.  But the ideas in this book (or just in the articles linked above, if you really don’t have time for the book) are exactly the answer some of us have been looking for.  He doesn’t give you excuses – or at least he’s not trying to – but rather ammunition to use in your war (should you choose to declare one) on the kind of “food” that’s trying to kill you.

—

I have some examples of what Kessler’s writing about.  You may recall a few weeks ago I wrote about a visit to a local pub that used to be a favorite of mine.  I’d been doing fine on my path to better eating.  But that afternoon, I decided a basket of fries wouldn’t hurt me.  And the waitress brought my beef-n-cheddar melt on white bread instead of wheat.  And I finished a couple of the chicken fingers my sprightly daughters left behind (because they were, you know, there).  I used to eat that stuff, if not every day, four or five times a week at a minimum.  It’s been long enough now that the taste it left in my mouth was not, shall we say, a welcome one.  More importantly, it took me more than 24 hours to get rid of the overwhelming need to eat fatty, sweet, gooey desserts.  Which I was able to resist, partially because I recognized the cause and was aware that indulging the craving wouldn’t end the craving.

Seriously, before that meal it had been months since I had that kind of craving … but all it took was one meal of the kind described by Kessler to kick those cravings into high gear.

Last week I had the same issue with potato chips.  I knew better than to eat them, but once I did my desire for more, More, MORE fat and salt and sugar and fat and salt and sugar and fat and salt and sugar was the single most important thing on my mind for the rest of the day.

Kessler’s writing about powerful stuff here, and he wants to help you and me.  It’s an easy read.  Take the time, and if it doesn’t apply to you, pass it on.  Trust me … you know somebody it can help.

24 Jun

Potato Chips, Tortilla Chips and Second Helpings

Posted by hlward in Uncategorized. Tagged: , , , .

Grrr … 268.

That’s up a pound.  Nineteen pounds in 15 weeks.  I do not want to fight for the same ground twice anymore.

Not that it’s any excuse, but as regular readers will recall, we do have an (as of this writing) eight-day-old baby in the house.  And I’ve been dealing with insurance adjusters and body-shop owners all week as a result of the pickup truck that backed into our minivan a few days ago.  Which made chips (potato and tortilla) and second helpings (several times) reeaaaallly attractive.

My will power needs to be tougher than that.  I knew when I picked up the first chip it was a bad idea, and hey, look, I have evidence now!

I also know I “self-medicate” anxiety with, you guessed it, food.  Which is, I suppose, less destructive (at least in the short-term) than self-medicating with booze or less-legal drugs or philandering or violent behavior or a lot of other bad habits I’m blessed not to have.  But being “less-destructive” is not ok … it’s still “destructive.”

Maybe when I feel the siren-song of the deep-fryer calling in my more stressful moments I need to drop and give myself 20.  Redirect the emotion, so to speak.

There’s an enlightening article in the current Wired about “feedback loops.”  The example they use is of mobile traffic radar installations with a “your speed is ___” display instead of just a speed-limit sign or increased police presence.  They generally result in significantly lower speeds.  The article goes on to talk about other ways feedback loops can be applied for better living.

I think I’ve found one.  When I stray from the food plan – and KNOW I’m straying – I know (now, “with certitude”) it will show up at the scale.  I’ll let you know how it works.

—

So yes, I promised a post today about if/why/how processed food makes me want more processed food.  The above is actually an example of that, but I swear I’ll get into it more deeply (with a book rec!) later today or tomorrow at the latest.

Thanks, as always, for reading.

23 Jun

Exercise. Ugh.

Posted by hlward in Uncategorized. Tagged: , , , , , .

As I’ve mentioned in more than one post on this blog, I don’t like exercise for the point of exercise.  Walking from point a to point b because it’s the best way to get there?  Sure!  Taking the stairs?  Heck yes – saves time!  Carrying the groceries an extra hundred yards or so?  I’m for it – means I probably found a shady parking spot!

But riding a bicycle for an hour without leaving the gym?  That feels pointless and dismal to me.  Climbing into a contraption designed to isolate one set of muscles moving in one particular direction and then working those muscles in that direction until it hurts to do the things life requires of me?   That’s just not logical or efficient.

That said, I know I need the exercise.  My lifestyle as a fundraiser/non-profit administrator/dad of three doesn’t exactly provide the level of physical exertion human males evolved to need for optimal long-term health.  In other words, as I lean into my mid-forties, I understand that I need to be more aware of creating healthy muscle-mass than I was twenty years ago.  And I know lean muscle mass burns calories faster than flab.  Not to mention the cardiovascular benefits of aerobic exercise.

Sooo … I know I need to build exercise into my day, and I know that exercise needs to be the kind that I can make part of my life, not just something I do for a few months and then ease out of.  Two-hour gym visits need not apply.  And yes, by the time I drive to a gym, change, warm up, resistance train, cardio train, cool down, shower, dress and go back to work/home, I’ve used two hours.

Here’s where I’ll start:  Push-ups, sit-ups and some stretches.  Ends up being about 15 minutes out of the day (start-to-finish, assuming I take time to, you know, breathe), and I can fit it into any part of the day – if I get up before everyone else, that’s great, but if one of the sprightly daughters decides 4:30 AM is the right time to start the day, I’ll find another part of the day to make it happen.  Starting tomorrow.

Then – and I haven’t figured this part out logistically yet – I’ll add in a half-hour walk (which is actually at least 45 minutes, start-to-finish) at least four days a week.  Yes, more would be better.  Would you like to see my schedule?  In about three more pounds I’ll start accelerating parts of that walk to a run and eventually it will become a full half-hour run at least four days a week.  I hate running, but when I was running regularly I always enjoyed having run.

I’d really like to add-in some sport or another (“sport” being loosely defined to possibly include golf, but not so loosely as to include driving my car) a time or two a week, but every sport I know of will take longer than I can reasonably commit with a newborn in the house.  We’ll see how the “sporting” segment develops.  By the time all three of my daughters are teenagers at once I’ll need a hobby like golf.  Which leaves me a good decade to prepare, but it’s never too early to start.

Will keep you updated, as always, constant reader.

—

Tomorrow:  Why does convenient, highly-processed “food” make me crave more convenient, highly-processed “food?”

22 Jun

Five Things I Thought I’d Miss But Don’t

Posted by hlward in Uncategorized. Tagged: , , , , , , , , , , , .

It’s Five Things Wednesday, so let’s get started with this list of five things I thought I’d miss when I gave them up, but don’t miss at all:

1.)  Diet Coke.  I’ve been drinking Diet Coke (just for the taste of it) since the early 90’s.  I’ve put away enough Diet Coke to, in the immortal words of Lynyrd Skynyrd, turn a battleship around.  As regular readers know, I gave it up before I committed to my current weight-loss/healthy living goals, and haven’t had a DC since Christmas Eve (2010).  For months I couldn’t pass a cooler in a convenience store without desperately wanting to reach out and grab a cool, refreshing, contour-bottled Diet Coke.  And then one day I looked at a cooler and realized I had no interest in drinking a Diet Coke.   For those of you contemplating walking away from aspartame-sweetened sodas, it may be helpful to know it took me about four months for the craving to go away.  Your mileage may vary.  I’m happy to have it behind me – there’s way too much stuff on that ingredient list that I can’t pronounce, and that can’t be good.  Side benefit:  I save an average of about a buck-and-a-half a day by leaving that stuff alone.

2.)  Elevators.  Since I started taking the stairs I’m amazed (and saddened) at how much time I used to waste in those tiny mechanical boxes, waiting for something to happen after I pushed the button.  I still use them sometimes (for instance, if the sprightly daughters are with me, stairs take a really loooong time, and I don’t take the stairs more than about three stories), and when I do I can’t believe how frustrating they are.  Most of ’em are kinda nasty as well.

3.)  “Good” Parking Spots.  The parking spots right next to the door (whatever door that is) are crowded, difficult to turn into and often without shade.  And I don’t waste time waiting for somebody to vacate a spot.  Viva shady parking spots!

4.)  Double Quarter-Pounders with Cheese.  I’m a little surprised McDonald’s stock price hasn’t tanked since I gave up fast food back in December.  I used to eat A LOT of these burgers.  Sometimes with fries (I still maintain that McD’s fries, direct from the fryer, with the proper amount of salt added at the proper time, are the very best fries anywhere), sometimes with a Filet-O-Fish on the side, usually with a tub of the aforementioned Diet Coke.   Not only were they quick and portable, they were tasty.  But it only took me a couple of weeks to forget about ’em.  At this point I can’t even remember what they tasted like.  The fries, they’re a different story.

5.)  Ben and Jerry’s Chocolate-Chip Cookie-Dough Ice Cream.  Sorry Ben and Jerry.  I want to save the world, just like you do (although when you sold-out to Unilever I suspect your interest in saving the world waned a bit), and I will attest that you make the very best mass-produced ice cream there is, bar none.  But eating your fine product a full pint at a time (’cause I never left any in the container) was making me think I should reserve a room at the local cardiac ICU facility.  This was one of the easier foods to give up, actually.  No cravings at all.  Which tells me it probably had fewer strangely-addictive chemicals than most of the stuff I was consuming, but it still had to go.

—

I noticed yesterday that the fine folks at WordPress.com have added a “share” bar at the bottom of my posts on this blog for those of you who use The Twitter and/or The Facebook.  While I primarily write this blog to keep myself on the straight-and-narrow, food-wise (and eventually exercise-wise), I’d be lying if I told you I didn’t really dig it when people actually read what I’ve written.  So don’t be shy about using those little buttons.  Thanks!

— (part II)

I’ve been advised that at least one of you is perturbed that I sometimes promise to write about a particular topic but never seem to get around to it. I do feel guilty about that, but let’s face it, I have a fairly short attention span.  That said, I’ll be making a concerted effort to address the issue and clean out the promised-posts backlog within the week.

And again, thank you for reading!

21 Jun

A Difference Between “Health Care” and “Wellness”

Posted by hlward in Uncategorized. Tagged: , , , , .

I’ve had a fair bit of experience with hospitals lately (some joyous, some less-so) and as a result was reminded that hospital food is, in a word, bad.  Bad for your taste buds, bad for your body.

The food patients are served tastes bad and so does the cafeteria food.  If it just tasted bad, I suppose I could forgive it – after all, they’re running hospitals, not resorts.  But I cannot forgive the simple truth that they serve food that just isn’t good for humans.  Biscuits and gravy?  Sausage patties?  Copious amounts of bacon?  Beef stew with white rice?  White bread?  Really?

Case in point:  The morning after my newest daughter was born I went down to the cafeteria, certain they would at least have some nice whole-grain cereal I could nosh, if not my beloved frozen blueberries.  No luck.  The best I could find was a variety of raisin bran sweetened with, you guessed it, high-fructose corn syrup.  No thanks.  I ended up with some of the nastiest scrambled eggs I’ve eaten in a looong time.  And some bacon.  There were probably forty options I could have picked, but the tasteless eggs were about the only healthy option.

And if you’re on some sort of calorie-restricted diet, God help you, because that just means they’re going to serve you fake food.  Fake sugar, fake “light” mayo, etc. Things that everyday observation is proving are simply not good for you to eat.

You know, hospitals don’t want to be called “hospitals” anymore.  They want to be “health-care systems” and that sort of thing.  But what kind of “health care” is it to feed you things that will, if you eat enough of them, make you sick?  It makes me wonder why they present this sort of thing.  I want to give them the benefit of the doubt and say it’s purely a cost-saving issue:  They contract with food service companies for the cheapest possible fare, and this is what that is.

My fear, however, is that it is a financial issue, but not one of savings, rather one of earnings:  If the “health-care” company is more concerned about its own fiscal wellness than the physical wellness of its patients, it might be tempted to look the other way when somebody says, “Shouldn’t we offer fresh fruit instead of biscuits and gravy with a side of aspartame?”

Here’s what I’m doing about it:  I’m going to start talking about it to every physician I know.  I encourage you to do the same.  It’s way past time to just accept that hospital food is bad for you.

20 Jun

Frozen Blueberries, Part II

Posted by hlward in Uncategorized.

A few posts ago I promised to talk about my weekend breakfast habits.  As I mentioned, on weekdays I am a devotee of Cheerios with frozen blueberries (go read the first Frozen Blueberries post for a discussion about why I prefer frozen to fresh) with 2% milk.  On weekends, I take a little extra time to enjoy … oatmeal.  With brown sugar, 2% milk, diced walnuts and the aforementioned frozen blueberries.  My six-year-old often joins me, and occasionally so does my lovely wife.

I probably wouldn’t enjoy oatmeal nearly so much if I ate it every day, but as a weekend “treat,” it’s, well, a treat.  Now, I’m not talking about some cardboard-textured instant microwaved just-add-water soupy paste, I’m talking about the good stuff.  At least I consider it the good stuff.

I’ve tried several over the past few months, and here, just for you, are my reviews.  My rating system is as follows:  I rate on a sliding combined scale including texture, flavor and ease-of-preparation.  I cook them all on the stove-top using filtered water and exactly according to the instructions that come on the side of the box in question.  Having tried preparing several in the microwave, again, according to instructions, there’s no comparison to stove-top.  I’ve listed them below, worst-to-first:


Publix Old Fashioned Oats:  Better than instant.  That’s the best I can say for it.  I tried it more than once, because we had a whole container of it.  I’m not sure if it was more like cardboard or more like glue.  And it was kinda hard to get to the right consistency.  Fail, on all counts.

McCann’s Steel-Cut Irish Oatmeal:  Is this really oatmeal?  Not by my southern-suburban American standards.  I’m sure it’s quite healthy, and has plenty of character, but it’s doesn’t have, you know, flakes of oats, the way the oatmeal I like does.  It tastes good, but the texture has more to do with cream of wheat – in my opinion – than oatmeal.  The consistency was hard to get past soupy and it took longer to cook off the excess water than most brands.  I can’t say “fail,” but I CAN say I didn’t particularly enjoy it.

Bob’s Red Mill Thick Rolled Oats:  They are thick.  And the consistency is right through my strike-zone.  Honest instructions that say to cook it for “10 to 20 minutes.”  Because, clearly, they know what others are reticent to admit:  cooking times for everything depend on lots of stuff they can’t predict on the side of the box/bag.  I appreciate that.  But the flavor?  Flat.  A little strange.  Not flavorless, just … flat.  Subsequent testings went better with extra brown sugar.  I’m not proud of that.

Old Fashioned Quaker Oats:  Yeah, the kind you grew up with.  That old dude stared down at me from the cabinet throughout my youth.  But the ol’ boy can flat-out make some tasty oatmeal.  The instructions yield a finished product with good, consistently chewy and substantial, lightly-flavored oats that provide a solid base for the extra stuff I add to it.  I like it quite a bit.

My favorite, and my reigning champ, even though the Publix doesn’t sell it is The Silver Palate Thick and Rough Oatmeal:  The total package.  Clear instructions that didn’t require modification, oat-y flavor (that required less other stuff to really enjoy), great consistency (it really is thick and rough, which I apparently enjoy in my oatmeal).  Soaks up the milk nicely, complements the berries, the nuts and the brown sugar instead of leaning on them.  Highly recommended.

So there you go.  Buy the Silver Palate stuff if you can find it.  If not, that kindly old Quaker sells a fine product.  I should add that the nutritional value of all the oats mentioned here is essentially the same.

19 Jun

I Have a Good Excuse.

Posted by hlward in Uncategorized. Tagged: .

So, yeah, I disappeared for a few days there.  I know, y’all were just getting used to me posting on a daily basis.  But really, I had a good excuse.  You see, my lovely wife, who was due to give birth to our third daughter on June 22, became impatient and gave birth on June 16 instead (OK, fine, it had nothing to do with impatience).

The good news for you is that we’re all back home and the blog is back in action.  And (bonus!) before we knew Thursday was THE day, I did a quick early weigh-in (I suppose I knew on some level what was about to happen) and found myself down another pound!  So, officially, that’s 267, or a full twenty pounds in 14 weeks.

—

Oh, yeah, my lovely wife and sprightly daughters?  They’re all happy and healthy and happy to be home.  Thanks for asking!

Regular posting schedule resumes … now.

15 Jun

Five Things That Have Helped Me Lose Weight

Posted by hlward in Uncategorized. Tagged: , , , , , , , , .

I hereby proclaim Wednesdays on this blog to be “Five-Things-Wednesdays.”  

Over the past few days several people have asked me what I “did” to lose the first 19 pounds.  The sad news is that there’s no magic bullet, no turnkey fad diet I can reference.   But enough people have asked that I decided to list below five things I’ve employed to help me lose weight:

1.)  As you might surmise from the title of the blog, I skip dessert.  Actually I skip sweets altogether.  That started in March, and led to my getting serious about losing weight.  I’ve eaten fewer than five desserts since then, and even those were in markedly smaller quantities than I’d ever have eaten before.  I don’t miss them, except on rare occasions (which I’ll describe in a future post – stay tuned).

2.)  As the subtitle of the blog suggests, I take the stairs if there is an option to do so.  And I park farther away than I normally would if there is an option to do so.  All of which I like to think of as passive exercise.

3.)  I stopped eating fast food.  What is “fast food?”  If there’s a drive-up window and the food comes out in a small paper sack, it’s fast food.   Since Christmas Eve 2010 I’ve eaten exactly three Taco Bell chicken quesadillas, and that is the only thing that passes for fast food I’ve eaten since then (which was before I even got serious about losing weight – I just decided fast food wasn’t doing me any favors).  Do I miss it?  Yes.  Because it’s fast.  I could drive through Burger King, check my email while sitting in my car in the line and eat the burger(s) while I was driving.  Can’t do any of that without fast food.  I do not, however, miss the “food” itself.

4.)  I stopped drinking sugary/fake sugary sodas at the same time.  I drink water, bubbly water (H2O with CO2 and maybe a little natural flavor) and occasionally tea (unsweetened – and yes, I miss that), sometimes juice (real juice – no high-fructose corn syrup added) and coffee.

5.)  I write this blog.  Which helps me focus on what I’m doing and keeps me accountable to the people who read it.  I want you to make endless fun of me if you see me with McDonald’s special sauce smeared on my tie or buttercream icing on my nose.  Because I don’t like it when people make fun of me, I’ll make an extra effort not to do the things that would lead you to do so.

And a bonus thing number 6.)  I avoid white-bread and all white-refined flour products whenever possible.  Sometimes it’s not possible without being fairly rude, and I’m not ready to do that just yet.  But when it is possible, which is most of the time, I opt for whole-wheat/whole-grain breads, cereals, rices and pastas.

14 Jun

As Ideas Go, This is a Bad One

Posted by hlward in Uncategorized. Tagged: , , .

This past weekend I had lunch in a pub that used to be a favorite of mine many years ago.  It wasn’t one of my better ideas, but it’s not the bad idea in question on this post.  I’ll write more later this week about the lunch itself.

While we were there the local top-40 hits radio station was playing, loudly.  I never, ever listen to top-40 radio, so it was a bit of an education.  One of the things I learned was that I’m not missing anything by never, ever listening to top-40 radio (I listen to a lot of music, just on iTunes and satellite radio).  Frankly that wasn’t a surprise.

What did surprise me was that fully half the ads I heard were for diet clinics and weight-loss gimmicks.  Now remember, this is an all-hits station.  It’s target listeners are 12-24 years of age.  And the ads they listen to (when they listen to the radio – young people, as a group, don’t, but that’s another story) are about quick and easy ways to lose weight.  With a consistent “it’s not your fault” message.  Wow.  Nothing about healthy eating or exercise, just, “come give us money and you won’t have to worry about that unsightly muffin-top anymore.”

Most disturbing was the ad for weight-loss SURGERY.  Yes, gastric bypass and lap band surgery, marketed HARD to teenagers.  Now, their website says you have to be 18 and significantly overweight.  But they’re running an ad in heavy rotation on the all-hits radio station to sell it.  And who is marketing this evil, horrible, really terrifically awful idea?  One of the area’s largest and most-respected hospitals, North Florida Regional Medical Center.  Which is an HCA hospital.  I’m sure if it were not potentially profitable in the extreme, HCA wouldn’t allow the ad expenditure.

There are cases where this kind of surgery is necessary.  But it’s surgery!  They cut your belly open and tie-off most of your stomach!  And if you don’t address whatever it was that made you want to eat the way you ate to gain all that weight in the first place … the portion of your stomach that you sectioned-off to be your new stomach will expand and you will get fat again.  And then what?  More surgery?  Heck, HCA could set up a revolving door for this stuff.  Maybe a card-punch system for frequent lap-banders.

If I haven’t made it clear by now, I believe marketing weight-loss surgery to kids (ok, teens, at best) is, in a word, immoral.  There are (extreme) cases where this kind of surgery makes sense, but your doctor (pediatrician, in this case) should refer you, not the ad between the crappy dance tunes.  If only those extreme cases where it makes medical sense were accepted they wouldn’t have an ad budget to sell them.

I hope the station (and the rep) made a bunch of money selling this ad schedule, and I hope they enjoy spending it.  ‘Cause Karma?  It’s a bitch.

—

Have I exaggerated a bit about the extent to which this surgery fails?  Yes.  But if you think it’s a good idea to actively market bariatric surgery to kids … this may not be the blog for you.

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