The Power of Lifestyle Change: Sergio's Weight Loss & Wellness Transformation

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Coming up on this episode of the
Healthy, Wealthy and Wise podcast.

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Well, keep in mind though, that
obese may not be obese for someone

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with a certain ethnic group because
that they, the, the BMI is based

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on white Anglo Saxon Protestants.

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It did not include initially.

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No, yes, yes, yes.

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And that's why a number of the major
universes, they will use the BMI,

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but, but not look at it as gospel.

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Welcome to the Healthy, Wealthy,
and Wise podcast with Dr.

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William T.

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Choctaw, MD, JD.

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This podcast will inform, educate,
and motivate you to live a more

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healthy, wealthy, and wise life.

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It's powered by the over 50 years
of medical experience of this

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Yale University Medical School
trained surgeon, who also receives.

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This Juris Doctorate from
Western State Law School.

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He has executive experience as a
former mayor of Walnut, California.

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As a chairman of the Nonprofit
Servants Arms, and as president of

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Choctaw Medical Group Incorporated,
you've got questions or concerns.

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He's got answers for both.

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So let's listen in on an
interview already in progress.

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Um, so that actually, uh, that's a
piece that I do miss of not being in

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the office, you know, having those,
going out, being able to walk and then

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still have your meeting or, um, so that
was the kind of nice, you know, there's

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a lot, every little bit helps, right?

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Yeah, yeah, you know, uh, don't take the
elevator, take the stairs or, uh, you

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know, every extra step you can put in,
it's a little bit, but it's something.

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Yeah.

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And that's why even with the apple watches
or the other watches that measure the

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steps per day and that sort of thing You
know it it all sort of adds up because you

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can start and you can And it can alert
you because if I am really busy, I can

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be a seated at my desk for nine hours
And the only reason why i'd gotten up

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is to get go to the kitchen walk 10
15 steps to get more coffee, right?

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And I may not have even gone
outside that day Right, right.

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You know, and it's, if you get caught
in this cycle of work, work, work,

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and you're tied to a desk, you don't
have manual labor work, it's could be

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extremely detrimental to your health.

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Understood.

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Is there anything, just looking
back over your last two years of

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experience, is there anything that
you would have done differently?

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Any lessons learned?

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Oh, shouldn't have done that, or
shouldn't have said that, or, or whatever.

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No, the only thing I think Do kick
my a friend and I had the surgery

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at the same time and we're all each
other that we could should have been

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better friends to each other Pushed
ourselves to have the surgery earlier.

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Okay, I've been talking about the surgery
for at least five six years Okay, we're

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gonna do we're gonna do and we never did
until we both finally hit our breaking

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points And then we said, all right,
we're gonna do it and so I think um I If

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you, if you recognize, if you feel that
there's a problem or if there's something

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in your life, that's making you feel a
certain way about it, it's easy to say,

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I'll think about it tomorrow or, you know,
Oh yeah, I know I got to get to that,

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but, and that, that pushing it back and
easily become a month, six months, you

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start to spiral out of control and then
you find yourself like, Myself, you

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know, it's 410 pounds, very poor health,

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much more desperate.

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And the measures you have to
take are far more drastic.

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You know, going back to the, the poor
health, um, and the fact that you're

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approaching 50, I, I had mentioned in
one of the other, uh, meetings I was

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in that I had, about a year ago, I had
a patient to contact me who's 50 years

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old, um, who, uh, was having some slurred
speech and whatever, but to make a long

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story short, he was having a stroke, uh,
and the folks got him to the hospital

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and got him cared for, and I just read,
just this week, I just read an article,

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article, um, in some of the medical
literature that the percentage of strokes

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is increasing, um, uh, in the last,
uh, ten years or five years compared

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to the previous five or ten years.

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And my point is, That, that is not
a steady state, that, that, going

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back to your point about don't put it
off, that the, the bad stuff is, is

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constantly moving or gaining on us, you
know, and, and so the, the sooner you

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can deal with it and take care of it,
um, it's, it's, it's an added benefit

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that Who would think that people under
60 years old were having strokes?

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You think about people 60 years
and older, but that's now changing.

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And the data is showing, and they
don't really know why, but frequently,

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many of these patients, in addition
to being obese, you know, have

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hypertension, have diabetes, all of
which Can lead to heart problems,

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stroke problems, et cetera, et cetera.

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Uh, so, so it's not a steady state,
you know, the bad stuff is increasing.

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And so another reason to do what
you've suggested, uh, not, not

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to wait or not to keep waiting.

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I

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know your body.

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Yeah.

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If your body is feeling different, it's
probably going, you know, if you, if

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you normally don't feel a certain way,
well, I mean, I found out I was diabetic.

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I was like, something is not right.

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I mean, the bathroom frequency was a bit.

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But like something does not feel right.

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Um, and I think especially this
is true of people of color.

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We ignore these symptoms.

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To our detriment.

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I have a very good, one of my best
friends, he, he knew he was diabetic,

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but he stopped testing his, uh, blood
sugar daily, you know, he's just

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stopped pricking his finger, but then
he also didn't take his medication.

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And also he liked to drink beer a lot.

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Yeah.

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It really raises your raises
your, uh, blood sugar.

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And so he had been operating at
300 plus for, you know, blood sugar

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for, you know, For like over, um,
eight weeks, you know, and he ended

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up having to go to the hospital and
they're like, Didn't you realize

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you're what you were doing yourself?

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Well, yeah, but I didn't think
about it It's so easy to put like if

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you're stopped testing and you know,
you're ignoring everything else.

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That's right.

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That's right I think it's really,
especially as you get older, know,

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when something feels different,
it's not just getting older.

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It means something has changed.

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Ask.

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Take a moment and ask,
like, why is this normal?

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Exactly.

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And you're so right.

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I, I see the patients all the time.

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The body will warn you, you know, it'll
let you know when something is off.

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Um, what we tend to do
is we tend to ignore it.

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We just say, no, it's it's blah,
blah, blah, blah, blah, blah.

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Um, but you're right if we pay
attention to it, uh, then many times

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we can, we can intervene earlier.

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Um, and, and one of the reasons, again,
thinking about your friend, one of

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the reasons why high blood pressure
is called the silent killer, you know,

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most people think, well, you know, if
my blood pressure is high, I'll know it.

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No, you won't.

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You will not know it.

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You won't feel pain.

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You know, you won't feel
this and this necessarily.

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Uh, you may feel nothing, uh, until either
you fall out or something bad happens

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and, or you go into a doctor's office
and they say, my goodness, your blood

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pressure is 140 or one, one, 200 over
something, you know, type thing, um, that,

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um, there are a lot of things out there
that, that are sort of designed to get us.

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So what's next for you moving forward?

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Uh, I think I've been
thinking about that a lot.

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I think I'd like to lose another
40 pounds as a, but it's not a

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healthy thing to say, but my buffer

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is like, I'm happy with my weight right
now, the, my profile at Kaiser still

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says, uh, obese, so I'm technically obese.

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But keep in mind though, that obese may
not be obese for someone with a certain

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ethnic group, because that, the BMI is
based on white Anglo Saxon Protestants.

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It did not include initially,
you know, no, yes, yes, yes.

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And that's why a number of the major
universes, they will use the BMI,

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but, but not look at it as gospel.

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Not, not look at it as gospel.

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Because again, again, it's like
the whole idea of how you treat,

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um, um, uh, heart attacks.

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You know, if, if all the people that I
evaluate, say 100, 000 people, but they

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all look a certain way, and then I'm
looking at somebody else who doesn't

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look like them, uh, that, that initial
evaluation may not be applicable.

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So, so the recommendation now is
that that particularly another

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other examples of how the BMI is
not always accurate for athletes.

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Athletes have different ratios to
muscle fat because they're athletes.

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They build up a lot of muscle.

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You look at the guys and the
women in the Olympics, you know,

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many of them are all muscle.

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So, so their BMI would be a little off.

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The BMI in children obviously is,
is different from those in adults,

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but they have their own scale.

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But my point is there is.

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Some healthcare disparity issues
with the BMI use it, but don't

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use it as gospel basically.

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Absolutely.

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And that's good to know though, because
it does weigh on you and I'm still obese.

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But I do, I've been wondering, I've
been wondering just that, um, you

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know, what's, what's next, definitely
establishing, uh, Keeping myself

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healthy, maintaining the progress that
I've achieved, you know, tracking it.

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I have full blood work every six
months and, you know, keeping tabs

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with my doctor if something goes wrong.

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So I'm really trying to be and
changing the lifestyle, right?

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Yes.

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I'm keeping myself active.

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I think that's

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Changing the lifestyle has been one
of the key pieces, uh, in my plan.

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And so far I've been able
to, to do it, uh, do it well.

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Let's continue, uh, in, um,
these next months on a good plan.

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Well, listen, thank you so much.

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Is there anything else you want to
share with us before we, before we

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I've had a great.

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A great time and, uh, happy
to share this time with you.

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And, uh, I really
enjoyed the conversation.

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Thank you so much for having me.

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Well, thank you.

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I honestly believe that, uh, you've
helped a lot of people today.

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Um, and now Jesse will work his
magic, uh, in terms of the podcast.

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Um, and, uh, probably the podcast
will be out within a week.

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We'll, we'll let you know.

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We'll let you know.

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Um, uh, so that you can, so when, when,
when you're walking, taking your walks,

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for listening to this episode
of the healthy, wealthy,

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and wise podcast with Dr.

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William T.

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Choctaw, MD.

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We hope you now feel more equipped
with tools and actionable information

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that will help you live a more
healthy, which includes the

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mental, physical, and spiritual.

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Wealthy, which includes the
financial, health, and spiritual.

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And wise, which includes the practical,
theoretical, and emotional life.

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For this one and past podcast
episodes, blogs, books, and

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news you can use, go to www.

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thw.

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org.

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wwp.com.

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That's www.thwwp.com, and you've got it.

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In the meantime, remember, you too can be
the change you want to see in the world.

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You've been listening to The Healthy,
wealthy and Wise Podcast with Dr.

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William t Choctaw.

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MDJD.