Fat Memes during COVID-19

Weight Gurus black bathroom scale on wood floor

I have noticed a lot of postings on Social Media joking about how overweight we will all be once we are through with our self-isolation/quarantining. To put it bluntly: not funny.

First, there are many people who struggle with their weight and their overall fitness all the time–not just during this unique period. My guess is that these are NOT the people posting these jokes and pictures; are they posted by “skinny” folks who feel safe because they know they are not really talking about themselves?

Second, how is it that in polite company and in social media it is not okay to joke about someone’s ethnicity, sexual orientation, religious beliefs (or lack thereof), and yet fat-shaming is still acceptable? As a personal trainer, I know that many people at the gym are keenly aware of this inconsistency. It is part of the reason why many with weight issues avoid the gym: fear of being judged or, even worse, ridiculed.

Third, there also folks out there who have genuine eating disorders. Eating properly and healthy are a daily battle for them. Can we even imagine what being stuck in a house full of food is like? It is a matter of mental and physical health…but, hey, if it gets a chuckle let’s post it on Facebook or Twitter!

Joking about someone’s physical condition should never be acceptable. During this difficult COVID-19 period, we should be especially sensitive to those who struggle with their health and their weight. It is hard enough for the rest of us to try to maintain proper diets while we are stuck at home or having to order take-out…let’s not make light of what for many is a very serious issue.

There is plenty of other funny stuff out there to joke about. I hear that cats are funny…

Use That Sunscreen

Today was my 5th Mohs procedure..and it was a doozy.

For those unfamiliar with Mohs, it is a surgery that removes layer by layer of skin in order to excise cancerous cells. First, you or your doctor may see something that looks unusual on the skin; s/he may decide it’s nothing or that it looks suspicious in which case it is removed and sent to a lab. The pathology can come back as benign (nothing dangerous) or cancerous. In my case, it was a basal cell carcinoma–the fifth one I’ve had. In order to make sure all the cancer has been completely removed, the dermatologist or a specialist will perform the Mohs procedure. One layer of skin is removed and if the edges are cancer-free, you’re done; you get a band-aid and you go home (well, it’s a little more complicated). Every other time I’ve had a Mohs, that is the way it went down. If, however, there are still cancerous cells on the periphery, the doctor will do another layer. This keeps going until the peripheries are clear. The average number of times a patient will have a layer removed is 1.8. Today, I set a personal record with 4! I was at the surgeon’s office for nearly 4 hours…and if you think the bandage looks bad, you should have seen what the wound looked like before it was closed!

The doctor and I had a conversation about why I was on my 5th procedure (my first being about 20 years ago and the last 2 years ago). I am fair- skinned and as a kid no one really paid attention to UV rays or sunscreen. It was a regular occurrence for me to get a sunburn; sometimes quite painful. Who knew that 40 years later this would be the result? Now I have to be especially careful.

What I did not know is that all that sun damage has actually altered the DNA of my affected skin cells. Some of them are OK and will never morph into anything else. Others, however, may be at the edge (99% and ready to go) of going cancerous. What will determine the next steps? It is entirely in my hands–literally. Sunscreen.

From here on out, I will be wearing it on my face (a special one designed for that purpose) every day. I will also wear an over-the-counter on my other exposed body parts. Windshields and car windows, as well as clouds, do not filter out the damaging radiation that can trigger these cells. Only a good sunscreen with a high enough SPF will work.

I am getting to be pretty high maintenance! Actually, this is a relatively easy step to add to my routine each morning…and later in the day if I am outside quite a bit.

I have been fortunate. So far, all have been basal cell carcinomas–easily treated. Next time, who knows?

My warning to you, my readers: the future of your skin is in your hands too. Sunscreen every day!

Celebrating Our 57th Birthday

Me on the left, my sister on the right. I was not delicate.

May 24, 1963. My parents weren’t expecting twins, but that is what they got. This was in the days before ultrasound and there were surprises. My sister, Michele, and I are still close even though we live in different states; she works at the University of Michigan and I am an OSU fan, but we still have that twin thing after 57 years.

In a way, it is unbelievable that I am 57. There are things that I think about and say to myself, “that must have been about 15 years ago,” and I realize it was more like 40. My 35th college reunion is this fall. 35! It feels like I was just in high school and I couldn’t wait to get to college, and now my 35th reunion is coming up. It hasn’t gone quickly…until recently when it seems like the weeks just fly by.

This is, of course, a time for reflection for me. When I was younger, I thought 57 was ancient. Now, my brain still thinks like I am in college or even younger. I still find the 3 Stooges hysterical. I can’t say no to pastry. Farts and fart jokes are ALWAYS funny. And I am always looking forward to the next adventure. But every once in a while, my body reminds me that I’m 57.

My life has had its twists and turns since this photo was taken. I was very sick as a teenager with Crohn’s Disease. I had an amazing college experience with lots of travel. I have lived in Colombia, Costa Rica, Michigan, Missouri, New Jersey, Virginia, Israel and Ohio (for the last 23 years now). I was married, had four kids, and got divorced. I got remarried and picked up a stepdaughter, and am happier than I’ve ever been. I was a rabbi for 25+ years and, while I still am a rabbi (it’s like Herpes–it never goes away), that is only part of who I am as I’ve become a Certified Personal Trainer. I have an amazing extended family as well as friends from the many times and places of my life.

Do I worry about getting older? My biggest worry is not getting older but being unhealthy as I age–either physically or cognitively. I have devoted a big part of my life to staying healthy and helping others to as well. I continue to challenge myself; yesterday I ran a 5k with my 20-year-old stepdaughter, and today I biked 15 miles with my wife. I am always learning new things and planning to someday travel again to exotic and not-so-exotic places.

Fifty seven years has brought me a certain amount of wisdom. Fart jokes are in fact always funny. Aside from that, I understand myself better. I have learned to be less judgmental and to forgive others (and myself). I truly value my family and the friends who have stuck it out with me over the decades. I know that what matters is how you treat others and how you make them feel. I have a more mature understanding of how I think the worlds works and what God wants out of me.

Lots of blessings. It hasn’t all been unicorns and glitter, but on the whole I have a great life and have learned to be resilient when things don’t go my way. Thanks to everyone on this journey with me. Here’s to the next 57…or whatever that number may be.

Aging and the Immune System

Diane Francis: Treating aging like a disease is the next big thing ...

The most recent issue of AARP Bulletin had an article about aging and how it can affect the immune system. The entire issue highlighted COVID-19 and its impact on the older adult population and it is worth a read if you can get your hands on a copy. Here is the link to the article: https://www.aarp.org/health/conditions-treatments/info-2020/coronavirus-immunity-age-risk.html

The article points out that how our immune system can become more vulnerable as we age, and how important it is to do what we can to keep it strong.

How does growing older affect immunity?

  1. Our bodies produce less immune cells, particularly B and T cells that fight viruses.
  2. Our bodies develop chronic low-grade inflammation. Inflammation is when a part of the body becomes reddened, swollen, hot and/or painful, which is how our bodies fight germs and heal injuries. When inflammation is constant (inflammation should only be a temporary condition), the immune system becomes degraded.

The author, Mike Zimmerman, points out that there are things we can do to boost our immunity (see my blog post of May 18 on this topic).

  1. Keep moving–regular workouts increase immune function and lowers inflammation.
  2. Maintain a healthy weight; visceral fat releases inflammatory cytokines into the body; it becomes a spiral where more inflammation leads to weight gain which leads to inflammation… Avoid this by eating properly.
  3. Get to know your health situation better. Track your endurance and ability to do activities of daily living. Use digital devices to track heart rate, calories burned, etc. Note when there are significant changes and let your doctor know.
  4. Eat smart. There are certain vitamins and minerals that help our immune system (A, B, C, D, and E; folic acid, iron, selenium and zinc); look for foods that contain these nutrients
  5. Chill. Find ways to reduce stress like yoga, meditation, exercise, or a good movie, favorite song, etc. This is tough during sheltering at home, but it is essential to reduce stress.
  6. Vaccinate! Although as we age, vaccinations can be less effective, they still work and even if you do get sick it will most likely be a milder case.
  7. Meds. Some medications do lower the immune system’s ability to fight illness. Do your research; if a medication you are on does this, talk with your doctor and see if there are alternatives.

It is important to approach COVID-19 sensibly. Take all the appropriate precautions for sure, but be pro-active as well. Just because we are getting older doesn’t mean we are sitting ducks for this virus. Take action and stay healthy!

Boosting our Immunity

Here is a great post from FitAmbitiousBlond. Something to consider as we make our way through this pandemic. We are not just sitting ducks. Aside from wearing masks, staying home, washing hands, etc., there are things we can do to keep ourselves healthy that help to boost our immune system at the same time.

https://wordpress.com/read/blogs/145951722/posts/2136

Overcoming the Fear of Virtual Training

Eat garbage, then work it off

Does this picture make you think of what online or virtual training is like? It is true that there is no shortage of online workouts that a person can do featuring people who don’t look like they actually need the workout…and who happen to be shirtless or in a bare midriff. I get why folks would be a little put off by these workouts. The people on the screen look nothing like most of us. Is that why so many of us are afraid of online workouts?

Even so, we are at the point where “waiting out the pandemic” before going back to the gym may not really be an option. Ohio’s governor, Mike DeWine announced yesterday that gyms in the state can re-open after Memorial Day Weekend (not sure what’s magic about that date); on the same day, the Mandel JCC where I work as a Personal Trainer informed us that we would not go back to one-on-one in-person by-appointment-only training at the gym on May 18 as previously hoped. In fact, leadership reported that it could be June before we do this. And, even if a gym re-opens, what does that mean? I’ve blogged about this before; it won’t be the same old gym that you remember from early March.

It is time to get over the fear of virtual workouts. Many personal trainers are depending on their clients (current and future) to do just that since our livelihoods depend on it (no less that other local businesses depend on us). Some people just feel that virtual training is just not the same and they are correct; but post COVID-19, is anything the same?

Guess what? There are some advantages to virtual training.

First, no one else can see you (unless you are in a Zoom group workout) so if you mess up or poop out, no one will judge you…except maybe your dog. In my daily online workouts, I always give modifications so that folks will feel that they can build up to the more difficult exercises. No one knows if your doing the modifications or only 8 reps instead of 12. The downside, of course, is that if your form is off or you’re just plain doing it wrong, there is no way for the instructor to know…and you could end up injuring yourself, which leads me to my next point.

Second, if you are working with a trainer one-on-one, we are well-versed in how to do exercises correctly as well as giving you the kinds of workouts that will help you to reach your fitness goals whatever stage of life you are in. Does a 70-year-old retiree need to do a 30-minute butt blaster? Probably not, but would exercises aimed at balance, mobility and fighting the loss of muscle mass be helpful? You bet. A trainer can provide that–even online–tailored especially to your needs and wants.

Third, you have more equipment to work with than you realize. You may look around the house and think, “I don’t even have a jump rope!” Trainers are able to provide effective workouts even if you have ZERO equipment. I have done workouts using dish towels, canned goods, and rolls of toilet paper, and they were tough! Most can rely on our own body weight…although one of my clients who has no dumbbells used a bottle of Cabernet Savignon and a bottle of Merlot instead of weights–brilliant! I never thought that I’d say the line: “while doing those overhead triceps extensions you may want to have the cork facing up….”

Fourth, when you work one-on-one over a platform like Zoom or FB Live, the distractions are minimized. There aren’t other people in the gym to distract you. You don’t have to wait to get on a piece of equipment and lose your momentum. It is hombre a hombre and it can be a very effective way to get things done.

Fifth, the technology is not as difficult as you think. If you have a tablet or laptop, you most likely have a camera and speakers built right in. If you only have a desktop, there are a number of good and relatively inexpensive webcams for purchase online. The programs are designed to make it so that even a Technorsaurus Rex like myself can make it work. I have clients in their 80s who are using Zoom all the time. Your trainer can talk you through it…and then you can “visit” with friends and family too.

Of course, if you want, you can wait it out. By then, however, how much muscle tone will you have lost? How much will your stamina have decreased? How much weight will you have put on? How will all this affect your mood, your sleep, and your energy levels?

What are you afraid of?

Missing that Touch

Free Hugs

This morning I had the opportunity to watch a webcast sponsored by the Cleveland Clinic for clergy. There was a panel of religious leaders who reflected on what COVID-19 has meant for the work they do and for their congregants/members/parishioner. A big focus was on what it means for those of us who provide for the spiritual needs of others.

One of the pastors talked about how difficult it has been since he is a “hugger.” I will admit that I am somewhat of a hugger as well, but it’s not an essential part of my rabbinate. Another pastor talked about how challenging it is to comfort those in pain or in mourning when we cannot be physically close; how do you embrace those who are ill or in mourning when that very act is hazardous and possibly fatal?

The term we all use these days is “social distancing.” I’ve stopped using that term and instead starting using the term “physical distancing.” We human beings are social animals. We are not meant to live alone and on our own. Like bees and ants (and many other animals), we can only survive and thrive in community. That is part of why this experience is so difficult for us. It’s in our make-up as humans to connect with others. We may be physically distant, but we can never really be socially distant. Luckily, we have technology today that can help us to some degree.

As hard as this is for me as a rabbi, there is an added level being in the fitness industry as well. The experience of going to the gym is an inherently social one…especially if we work out with a personal trainer. Think about it: we could all work out at home–and there are many who do so successfully; it is a solitary experience. Most who join gyms or JCCs or YMCAs want the personal connection as well. The chatting, hanging out in the schvitz (sauna or steam room), and seeing friends are an integral part of the visit to the gym. As a personal trainer, I know that one of the most important aspects of my training is building a personal relationship with my clients; when I was client, it wasn’t just about the exercises, but also about my trust in my trainer and my sense that s/he really cared about me. COVID-19 has put a huge kink in that dynamic. I can see my clients via Zoom or Facebook Live, but the personal “touch” is missing. The real or proverbial hug is now dangerous.

None of us knows how long this pandemic will be around, how much longer is will disrupt our lives. In the meantime, we need to continue to reach out to others so that they know that we are there…even if we are not physically present. We know that feeling, that sense that someone is with us even when they are far away (or perhaps even no longer living). How do we capture that? How do we recreate that? How do we recover that touch we miss? Then, how do we share it?

I don’t know the answers, but as a rabbi and a personal trainer, these tasks will be front and center until the day when once again we can truly hug each other again…providing that personal touch.

Staying Away from the Dead

The Afterlight

Jewish tradition has placed a great deal of emphasis on purity and impurity–not in terms of hygiene, but more in a spiritual sense. There are lots of laws concerning what causes such an impurity, and what to do to contain that uncleanness.

The weekly Torah portion, Emor, addresses the Kohanim, the ancient priests and the specific laws that they were bidden to follow. Among them was that they were not to come into contact with a deceased person since this is something that imparts ritual impurity. The only exceptions were for the death of a parent, brother, unmarried sister or child. All other Israelites could tend to the bodies of the deceased within the community without concern; the Priests, however, had to be ritually pure to serve in the Tabernacle and later the Temple.

It is noteworthy that many of these ideas are on our minds today in the midst of COVID-19. We are very aware of the people with whom we come into contact. We want to know with whom they have been in contact. The questions that are asked when you enter a doctor’s office or even a supermarket parallel those that might have been asked of a priest: Are you pure? Is it safe for you to be in our midst?

The parallel isn’t exact, but the Torah demonstrates that our ancestors dealt with the same questions and uncertainty as we do today. In 2020 it is COVID-19. In ancient times, it was death in general…as well as certain skin diseases. We often read these sections of the Torah thinking how quaint their understanding of medicine was back then. How quaint will we look in a hundred years when our descendants see how we dealt with our current crisis?