My Journey in Photos

  • August 2015
  • 06
    Thursday
    August 2015
    Day Seventeen (-16.6 lbs)
    Today was an exciting day - I got to change my Dexcom sensor. Wearing the sensor itself isn't painful, but it does take some adjustment. Although the sensor is officially good for one week, I chose to use the sensor for two weeks because I'm using it mainly for trend data and not for management of diabetes. These sensors are very expensive (over $50/sensor) since they aren't covered by my insurance plan. My friend Christopher Snider informed me that many Dexcom users keep their sensors on for two weeks for similar cost reasons.
  • 01
    Saturday
    August 2015
    Day Twelve (-13.8 lbs)
    I went to get my second set of labs drawn since starting the precision:me project. My experience at Theranos wasn't ideal. They didn't have a fax from my doctor ordering the tests. I had a copy of the orders on my smartphone, but they don't accept orders via PDF or email. Only on paper. So I had to go to the UPS store in downtown Palo Alto and print out my email. I then brought the printout to the phlebotomist and she was able to draw my blood. How might we help health care get the patient experience right? How might a Silicon Valley tech company like Theranos find a way to move from paper and fax machines to smartphones and email? If anyone has the answers, please do leave me a comment.
  • July 2015
  • 31
    Friday
    July 2015
    Day Eleven (-12.2 lbs)
    I was on call at Stanford Hospital today. I ran out of chicken to make my lunch so I had to have a small salad in the attending lounge today. Felt guilty-I'm off program. Not doing this right. But, no dressing, just veggies. Life doesn't allow me to be perfect every day. Darn leptin levels, I was hungry today!
  • 30
    Thursday
    July 2015
    Day Ten (-11.8lbs)
    I'm hungry. The stomach is rumbling. I'm losing weight, but my appetite is back. Dr. Bailony reminded me today that my Leptin levels are dropping during weight loss as a signal to my brain to increase eating and curb the weight loss. I'm thankful that I'm not developing tolerance to phentermine so quickly. I'm sharing these photos of Zoë coveting Sprinkles cupcakes in lab. I'm not carb craving, but I completely understand her motivation to get the food. Time for a coffee...
  • 29
    Wednesday
    July 2015
    Day Nine (-10.8 lbs)
    Sorry, no new photos today. But I did find this photo from 2009 when I was 243 pounds. I'm here in this photo with my students Chelsea Young, Nicole D'Arcy and Abby Zamora when Adam and Jamie visited my pain research lab to learn about quantitative sensory pain testing. The reason I don't have any photos today is because I'm pulling an all-nighter with my AIM Lab Digital Health fellow Brandi Sinkfield. We're on deadline to get a manuscript out tomorrow. I was definitely hungry tonight. Why is this happening?
  • 28
    Tuesday
    July 2015
    Day Eight (-10.2 lb)
    I love big carbs. I cannot lie. Cookies, cake, candy, I love it all! At Medicine X, we don't turn down an excuse to celebrate the major milestones in our co-worker's lives. Our Medicine X | AIM Lab Educational Informatics Fellow, Janak Chandrasoma, MD graduated today. He's moving to USC where he will be an Assistant Professor of Anesthesiology. Congrats Janak! Interestingly, since starting VLCD, I've lost my interest in sweets. It's interesting what eliminating all refined sugar has done to my food cravings over the past nine days.
  • 27
    Monday
    July 2015
    Day Seven (-9.4 lbs)
    Did I mention that I hate exercise? I've never really had restless legs or the burning desire to jump out of bed in the morning and jog two miles. I can easily close the door on a Friday night and never leave the house until Monday morning. So for the past ten years, I've had a personal trainer make exercise fun for me. This includes bringing me new ideas to keep my routines interesting and fresh. And also motivate me to exercise when I just want to crawl back into bed. Vince Bulnes has been my trainer for a good portion of those ten years, and his friendship and expertise have been a great help in keeping me moving.
  • 26
    Sunday
    July 2015
    Day Six (-9.6 lbs)
    I'm post call and exhausted. Time to get some rest. But first I need to pick up a few medications that were prescribed to me by Dr. Bailony. I'm leaving the car at home. Using the free day and nice weather as an opportunity to walk to Walgreen's. By the way: did you know the most accessible health care professional to patients is their pharmacist?
  • 25
    Saturday
    July 2015
    Day Five (-8.0 lbs)
    On 24-hour call again at Stanford, labor and delivery floor. I'm working with the same resident as my last call shift and things are going smoothly. I feel really full at 10PM and don't even feel like eating dinner. I guess when you are doing what you love you can forget to eat sometimes!
  • 24
    Friday
    July 2015
    Day Four (-4.3 lbs)
    Today is a day I have been dreading. My first meal out. Luckily my doc Rami Bailony, MD and his nutritionist helped me develop a plan for the day. They looked at the online menu at Fleming's steakhouse and gave me several options. I elected to follow their plan to skip breakfast, eat 22 almonds for lunch and then enjoy a dinner at Fleming's that consisted of a 6oz filet mignon (no butter or sides), grilled asparagus and mushrooms. I even had dessert - mixed berries!
  • 23
    Thursday
    July 2015
    Day Three (-3.0 lbs)
    I'm so excited! My Dexcom G4 continuous glucose monitor (CGM) arrived today. It pairs with the Apple watch to make tracking my real-time glucose values a snap. I'm also wearing my Apple watch to sleep for the first time so I can track my heart rate at night. Waking me up at 1:50 to remind me to Stand up! Come on Apple, not nice :-(
  • 22
    Wednesday
    July 2015
    Day Two (-2.6 lbs)
    Day two and I'm having energy. Dropped Zoë off to the groomers before heading in for a 24-hour work shift. I'm providing anesthesia for the infertility clinic this morning and will be overnight in Labor and Delivery all night. Good thing I brought all my food with me today so I won't need to be tempted by hospital food.
  • 21
    Tuesday
    July 2015
    Day One (-1.4 lbs)
    A busy day of teaching our CB-1 anesthesia residents in the simulation center and running a learning exercise called "Amazing Race: Anesthesia Edition". The challenge you see the residents performing in this Amazing Race task is to complete an arterial line transducer setup blindfolded while receiving instructions from your teammate. It is a great lesson in teamwork and communication!
  • 20
    Monday
    July 2015
    Day Zero
    Starting off my journey to get fit. Drinking lots of green tea and water. Started the day off with some steel cut oats. Taking my dog Molly to see the vet for some tests.