Labeling, not enabling
Not long after I got out of the hospital — I think it was between two and four weeks, but I don’t remember exactly — Kaiser invited me to a free post heart-failure class, which was led by a nurse and a nutritionist. There were several dozen attendees in the room, and other than the nutritionist and one kid who must have been his grandmother’s ride there, I was by far the youngest person in attendance. And I don’t mean by just a couple of years. Everyone else there had to have been at least two decades older than me. If they weren’t, they sure looked it.
I found myself wondering why there was such a huge difference. As far as I could tell, no one in that room was a current hospital patient, so they all must have been through the same experience. Now, granted, my relative youth might have been an important factor, but I’m only assuming that everyone was so much older. Again, it could have been perception, and there may have been younger people in that room who were just a lot sicker.
After all, in the months before I’d gone into the hospital, I had looked a hell of a lot older myself.
But it was a strange sort of encouragement. I felt downright chipper and energetic, and if what I was looking at around that room was the alternative, then I had either really lucked out, really done something right, or both.
This feeling really kicked in at about the halfway point when the nurse had finished talking about the importance of physical activity, then said it was time for a stretch break and asked us to stand up. Three of us did — one patient, the aforementioned grandkid, and I. The nurse quickly covered with the request, “If you can’t stand up, just put your arms up.”
Some of those efforts were totally half-assed as well, and I really began to feel sorry for a lot of folks in that room, also remembering that not all that long before this class, I would have been in their boat, and not paddling along on my own.
I hope this isn’t making the class sound useless, though, because what the nutritionist taught us is still invaluable. It’s advice I follow to this day, and information I alluded to in Chapter 2. This is where I learned to start watching people in restaurants in order to see if what she’d told us was true, and it is — the first thing the vast majority of people do when their food arrives is to grab the salt and start shaking away, even before they’ve tasted a single bite.
She also taught us the importance of those nutritional information labels on the backs of packages that we often wind up ignoring, which brings up another one of those funny doctor moments.
Before I wound up in the hospital and as my doctor was scheduling my echocardiogram, I had mentioned my dieting attempts and how they weren’t working, but I insisted that I always read the nutritional labels. As the conversation continued, though, I realized that I wasn’t really reading the labels. I was only looking at the Calorie information, and only on a few items. After all, if you go by only Calories, an entire jar of 100 grams of olives only has 115 — but it has 735 mg of sodium. And a condiment, like a particularly snooty brand of mustard, only has 5 Calories per serving but 120 mg of sodium.
(Free grammar and science lesson: “Calorie,” with a capital C, refers to the things in stuff you eat. The other one, “calorie” with a lowercase c, refers to a specific scientific unit of measure, and is 1/1000th of a Calorie. No, I don’t know why, but the easy way to remember is that Calorie, with the big C, is bigger than calorie with the little c.)
My M.O. had only been to look at the Calories on pre-packed, frozen entrees, but I hadn’t given it a thought when it came to other things, like bread, buns, condiments, juices, and so on. I also gleefully ignored the serving size rules, meaning that the Calorie counts on the package became meaningless. After all, if the serving size is one fifth of a package at 260 Calories, eating the whole package would actually be 1,300 Calories, or a huge chunk of an adult’s needs for the entire day.
The hypothetical product I’m basing that on would also jump from an already ridiculous 960 mg of sodium to 4,800 mg — way over double the RDA.
Guess who used to ignore the serving sizes and consider “one package” and “one serving” to be synonymous? I used to eat an entire 12-inch pepperoni and sausage pizza for a meal. A meal like that was loaded down with 1,360 Calories, 60 grams of fat, 2,840 milligrams of sodium, and 12 grams of sugar just for fun. Sometimes, I’d even add extra cheese, bringing it up to 1,520 Calories, 72 grams of fat, and 3,180 milligrams of sodium.
Hey, at least the cheese didn’t add any sugar, right? And I won’t say which brand that pizza was, other than that it’s very appropriately named. What I will say is prepare yourself now, because pizza is one of those things that’s going to become very, very rare in your diet if you want this to work.
If your initial reaction to that comment was to express some degree of skepticism or disdain at losing out on pizza, then you are going to have to work extra-special hard at all of the tricks I’m sharing, because you are being your own enabler. In order to succeed, you’re going to have to learn to cut off all of your enablers, including yourself.
That cutting off begins by doing what I learned to do. Read those nutrition labels on absolutely everything.
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