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WEEK TWO - February 14, 2000

Item Tested Pre-Diet Ideal
Blood Pressure 142 / 98 110 / 80
Cholesterol (Total) 179 100 -199
HDL ("good" one) 44 35 -150
LDL ("bad" one) 110 0 - 129
LDL/HDL Ratio 2.5 0.0 - 3.6
Blood Glucose 105 65 - 109
Triglycerides 122 0 - 199

Rich on the treadmill
Mark McKeown/SDN photo

RICH FISHER, advertising director for The Sidney Daily News, walks on the treadmill during a recent stress test at Wilson Memorial Hospital. Watching the test results is Dr. Miguel Topalov. The test is the first step in Fisher’s journey to lose weight and get physically fit.

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The pre-diet physical examination
By Rich Fisher

One of the most important things about dieting is to avoid the "blahs." As a veteran of 37 prior dieting efforts, that much I know. That’s why finding good recipes, interesting and fun exercise

routines, and measurable results are important. (I welcome good, low-carbohydrate, high-protein recipes, and suggestions to make sure Mike Becker has to pay a fine at our Wednesday Noon Kiwanis meeting. Send tips, recipes and ways to work Mike’s name into my articles, so he’ll be fined, to me at rfisher@sdnccg.com.)

Also important is a medical checkup. The experts say that if you are more than 30 pounds overweight and/or 40 years or older, a physical checkup, complete with certain tests, is vital. By those standards, I could need THREE physicals. My new doctor, however, dismissed that notion. "Diet and exercise … very important," Dr. Miguel Topalov calmly explained.

"Yes, we will want to do a complete blood work, and some other testing, but diet and exercise, very important," he reiterated.

"OK, what about a stress test? I inquired.

"Of course, we will want to do that, too, we’ll schedule that before you leave."

Pre-diet fling

What he didn’t tell me was that the tests would be set up for the Monday following Super Bowl Sunday. Our annual Super Bowl ritual in the Fisher household is a big spread of Mexican food. This tradition goes back for over 20 Super Bowls and was to be my last pre-diet fling.

But alas, the stress test required a four-hour fasting period. The blood tests, however, required a 12- to 14-hour fasting period. By halftime I could have nothing but water. Watching the Super Bowl and toasting touchdowns with water has the real potential of being …well, blah!

To avoid the blahs, I also avoided water, except to brush my teeth, but then I didn’t swallow that water.

In the accompanying box are the results of my physical exam and tests. As you can see, with the exception of a somewhat elevated blood pressure, all the other numbers are well within the norms. In fact, my cholesterol numbers are surprisingly good, especially the LDL/HDL ratio of 2.5. This compares to a male average risk of 3.6. That means that my ratio is about three-fourths risk of the average male.

Topalov explained that, while weight is one of the factors that can cause cholesterol levels to be too high, other factors such as food preferences and especially genetics play a much larger role.

"You could be very thin and still have a cholesterol problem," the doctor explained, "but yours is very good."

What is of some concern is my blood pressure level. Dr. Atkins contends that by reducing my weight and avoiding the high carbohydrates, a lower blood pressure will be one of the natural results. Topalov will be watching that number carefully in the coming weeks.

Other than the fasting for the blood tests, little other preparation was necessary.

‘A+ blood’

I didn’t have to study for my blood tests because I knew I would pass them! As a 6-gallon-plus blood donor, my blood has been tested many times. I always get an A+. I know what you’re thinking, "Rich, your blood is not A+, it is A positive." To which I say, "A+ seems a little less … blah!"

What I didn’t know was that after my stress test and my blood test, Topalov also wanted a urine test. Keep in mind that I had nothing to eat or drink for 14 hours prior to this. And other than brushing my teeth, I didn’t have even water.

This test would have to wait until I could down a 32-ounce bottle of water and take a nice brisk walk in the winter morning air.

The stress test was nothing surprising to me, I was prepared. I would be attached with a number of monitoring lines and asked to walk on a treadmill at increasing speeds and somewhat up hill until my heart was "stressed" to measure for any abnormalities. I was able to achieve 100 percent of what was expected, with no arrhythmia or other concerns, in nine minutes.

To prepare for this test, I had been using my home treadmill for a couple of weeks. But to prepare especially for the "stress" portion, I decided to walk at a brisk pace while talking with my 17-year-old son, Zach, about the importance of not succumbing to "senioritis."

To assure that he was listening, I asked him to take notes. Somewhat unusual, but I thought it was worth a try. And so I went, walking and talking for two miles. I was on a roll, the exercise felt challenging but invigorating, my insightful, fatherly words of wisdom to my son, I was in a zone! Zach was capturing every word I uttered.

Finally, somewhat exhausted, I stepped off the treadmill and with a towel to wipe away the sweat, turned to my son and asked to see his notes.

I sat, somewhat stunned as I read, "Blah blah blah (huff, huff) blah blah blah blah, (puff, puff) blah blah, blah (huff huff) … for three pages.

Like I said, you’ve got to a avoid the "blahs."

The Tale of the Tape

By Rich Fisher

It turns out that you can’t really do a successful diet story without a starting and ending point. Sidney Daily News Editor Jeff Billiel insisted upon a set of statistical data for the beginning of the diet to compare with the same data at the end of the diet -- another way to measure my impending success!But numbers by themselves can be rather blah! I have a solution ... numbers in comparison are more relevant and easier to understand. So, I offer my "tale of the tape" in comparison to that of former heavyweight champion Larry Holmes. (Just as there was a "Heavy Elvis" and a "Thin Elvis," so too was there an "In-shape Larry Homes" and, well, you know. ...) On the left, are Larry Holmes’ numbers when he was champion (the "In-shape Larry"), on the right my numbers prior to starting my diet:

Larry Holmes   Rich Fisher
6 ft. 3.5 in. Height 6 ft. 0 in.
209 lbs. Weight 208 lbs.
43.5 in. Chest 50.5 in.
35 in. Waist 47 in.
15.75 in. Biceps 16 in.
17.5 in. Neck 18 in.
8 in. Wrist 8 in.
16 in. Calf 18 in.
10 in. Ankle 12 in.
25 in. Thigh 27 in.
13.5 in. Fist 13 in.
13 in. Forearm 13.5 in.

It is, of course, what’s inside the numbers that makes Larry Holmes a heavyweight champion of the world, and me a dieter! Having said that, I couldn’t help but notice, all things considered, don’t you think Larry Holmes has a rather pudgy fist?Another set of numbers, equally if not more important, needs also to be followed. These include the numbers from my medical exam taken prior to my diet and periodically throughout my diet. I should show lower blood pressure numbers, cholesterol numbers, etc. We’ll share and watch those numbers as well.

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