What next? How we save the NHS.

The Government, and Jeremy Hunt, have imposed the new Junior Doctor contract.

In so doing, they continue to demonstrate their terrifying lack of respect for the commitment and intelligence of the 53,000 junior doctors who work for the NHS, not to mention the 377,000 nurses, 97,000 senior doctors and 74% of of the general public who seem to understand that if we lose significant numbers of juniors, the whole system will collapse…

So, what’s next? I’m not in charge of the BMA, but here’s my proposal…

Six kilos in six weeks: The end

Read the first post in this series here – Six kilos in six weeks: finishing what I started. Just a warning, I’m going to be talking about weight loss, dieting and body image. If you struggle with your relationship with food, or have any self image difficulties, you may find it hard to read. And the grand result is…

I lost 4.1kg. I feel pretty good about myself. This whole series was never really about weight loss “numbers”; it was about getting healthier. My achievements include: Losing lots of body fat, especially unhealthy central abdominal fat. Building up to managing at least 5 hours of cardio exercise each week and two days with strength training  (The government recommends a minimum of 2.5 hours + two days with muscle strength training) Beating my personal bests at running 5k, 10k, and cycling the 25 miles to work. Not eating chocolate for periods upto 3 or 4 days at a time, it was hard but with the help of appetite suppressants. Isn’t the maths wrong?

Lots of people enjoy getting their knickers in a twist about calories. Google “calorie myth”, and find a million different websites arguing about the idea that calorie deficit is the most important part of weight loss along the use of supplements like leptitox.

Six kilos in six weeks: the final push.

Not well. For some reason, emotionally, I just had a terrible weekend. I decided that a strict diet was not going to improve my mood, so I took off the brakes. I’d like to note that on both days I was still careful with my breakfast calories, avoiding having too big a meal at night, and generally still applied a modicum of self control.

I still, pretty impressively, managed miss my deficit target by 2540kcal in two days. In context? I was aiming to eat just 2400kcal, and I was 2540kcal over that target. More than doubling it. I’m really good at this eating thing, eh?

Six kilos in six weeks: 28 days down

We just spent a week at Center Parcs. Usually, a trip to CP involves us doing a shopping trip where doughnuts, cookies and chocolate feature pretty heavily. I was a bit concerned about this, but actually, the week proved pretty great.

We ate tons of cabbage, broccoli and about a pint of coffee every day, but I managed to stay away from the biscuits!

Overall, based on a basal metabolic requirement of 2400 kcal per day, I’ve averaged a daily deficit of 865kcal, leaving me just over 6000 kcal down for the week…

Six kilos in six weeks: the difficult second album

After a very principled and well behaved week one, I did less well, but still acceptably this week.

  • I have overshot on every single day…
  • …including one day where I managed an extra 1423 kcal!

Despite how bad that sounds, I only overshot by an average of 73kcal on the weekdays. I could see my weights were on track, so allowed myself a rest day on Saturday.

Six kilos in six weeks: 1 week in

The first question in any diet is: have I fallen off the wagon yet? I’m happy to say no. I have overshot, on one day by 250kcal… …but I’ve also been under it by 137kcal on one day too.

In the last week, based on a basal metabolic requirement of 2400 kcal per day, I’ve averaged a daily deficit of 996kcal, leaving me just a smidge under 7000kcal down for the week…