The Path of Leaf Resistance

I love fall. The crisp morning air, the contrast of the colorful leaves against clear blue skies, the colder nights. This year my husband and l vacationed in New Hampshire’s Green Mountains just to see the fall foliage of the East Coast. The locals call people like us “peepers.” It was breathtaking for sure but you know what?  Autumnal Oregon is just as breathtaking.  There is a maple tree outside my bedroom window I could stare at for hours. I should say there was a tree. It’s gone now.

October in New Hampshire

I protested vehemently three years ago when my husband announced he needed to chop down my majestic maple which had given me hours of daydreaming pleasure every October when its huge leaves turned a brilliant yellow. Something about its proximity to the house, the roof, the septic, he explained as he revved the chain saw. The kids were ecstatic of course when they didn’t have to rake its leaves anymore.

We still have leaves, mind you.  I made my husband plant fourteen more maples on the perimeter of our property to take the place of the one he sacrificed. With kids grown and gone, leaf duty falls to me. I actually look forward to it, re-framing the work as a productive form of exercise, fresh air, vitamin D, being outside with my dog, all that good dopamine producing positive thinking. And I capitalize on efficiency by blowing the leaves onto the grass first, then cutting the grass and vacuuming the leaves at the same time with my mulching lawn mower, grass catcher in tow. Think of all that compost. It’s energizing.

My little helper

But today I ran out of gas. Literally. I was halfway finished with the job when the engine kicked off. I tracked down our gas cans. The two I found were empty. Simple enough, I reasoned. Just put the cans and the dog in the car and drive the three miles to the local gas station, have a chat with the owner Cindy while she fills them, and get right back to work. No big deal. But I felt drained. I could not move. Why?  Why did I have the energy to do the work of blowing and mowing but zero energy for the simple task of filling up gas cans? The all too familiar tape played automatically in my brain:  “You are lazy.”

A sleepy New England town

I have heard that more than once from patients when I inquire about the barriers they face for positive behavior change.  “I guess I’m just lazy,” they often reply. I did what I encourage my patients to do in this paralyzing moment and investigated that negative thought. Is it true? What is the history? What is the proof? The truth is I’m not lazy just as I know my patients are not lazy. We do tend to take the path of least resistance, however.  It’s human nature. We come by it honestly and energy conservation serves us well most of the time. It is thermodynamics.

One of the new maples

I still did not want to wrestle my dog into the car. So I told myself the next truth: I have enough energy to take the next small step.  I called my husband. “Don’t we have a gas can around here that actually has gas in it?” He told me where a third, full gas can was hiding.  I found it, filled the tank, and finished the job.  

Telling myself the truth and not condemning myself for my humanity changed the potential energy I knew I had into the kinetic energy I needed to take the next small step. Telling myself the truth sparked action.  Telling myself the truth makes all the difference.

It’s Personal

This weigh different thing is personal for me.

The FamBam

Allow me to explain:  As I shared, I have four children, healthy children, who all had that pre-adolescent weight gain prior to their growth spurt (ok, except for you, Zach).  But my youngest son, Zeke, kept gaining weight. Worried and wondering, I elbowed my husband and whispered in his ear, “Kenny, we have to do something.”

“He’ll be fine,” Kenny replied, playfully dismissing my maternal worries in complete denial, I might add, of the firestorm of metabolic hormones raging in Zeke’s young body.

So I did what most mothers would do. I watched him. I watched him and I micromanaged his eating.

“Zeke, are you really that hungry?  Why don’t you wait a few minutes and see if you still need seconds.”

Continue reading “It’s Personal”

Welcome to the Weigh Different Blog

Dr. Julie GilbertWelcome to our Weigh Different Blog and allow me to introduce myself. 

My name is Julie Gilbert. I am a wife, a mother, a grandmother, and a family doc. I have been practicing family medicine in the Salem area since 1995. While I enjoyed all aspects of a busy family practice, I particularly appreciated getting to know generations of families and watching them grow. My frustration came when I was not always able to keep them well. At times it felt like I was just holding some of my patients’ hands as they progressed in their chronic diseases like heart disease or diabetes or arthritis. I’d prescribe one or two or three more pills. Maybe I’d advise weight loss but I had no idea how to help in this area where so many of my patients struggled. I wanted my practice to be different, way different, but I just didn’t know what needed to change.

Then I discovered the American Board of Obesity Medicine. And I had a revelation. Obesity is actually a disease. And a complicated disease at that. No wonder my “eat less, move more” advice didn’t work. I was so energized by this new found evidenced based, scientific knowledge that I became board certified in obesity medicine. And for the last four years, I have been practicing strictly medical weight management, helping patients understand the disease of obesity, make sustainable lifestyle changes, feel better, get healthier, de-prescribe some medications, (yes, that’s a thing) and the byproduct?  Weight loss! I love it!!! I am practicing the best medicine in the 25+years I have been a physician. 

I had to practice way different** in order for my patients to weigh different.

So I’d like to share some of my thoughts in this blog I call “Weigh Different.”   I’ll be writing about things like Weigh Different hormones, Weigh different food, Weigh Different sleep, and Weigh Different thinking, etc. Now I have to warn you; I am not a writer. Wait. Let me say that a little different: I am not a writer… yet. You may not be where you want to be in your health and weight…yet.  I believe we can get there together.

*(ok, I have to mention I am a dog owner too. I have a Bernese Mountain dog named Maisie. She is the cutest and if you come by the office you might see her here.

**For the grammarians out there, I understand I should be using an “ly” on the word different when used as an adverb. Thank you, Sr. Marina, for allowing me to use poetic license here.