Death is so Final

Death is so final. When I learned of Whitney Houston’s untimely death I was greatly saddened—one more addicted person lost their life. The loss of this great icon shadowed my own personal tragedies of people I loved who died before their time. As I reminisce in my mind there are so many losses.

I’ve said too many good byes to friends, family members, acquaintances, and patients but none touched me so deeply as the loss of my best friend Yvonne, which Whitney Huston’s death so mirrored.

I moved to Chicago when I was one notch above adolescents with not a penny to my name, no vehicle, job, or a place of my own to live. After countless attempts to work in an office as a secretary, I landed a job as a hostess in a family owned Italian restaurant and soon graduated to a waitress position followed by bar tending. A quirky, feisty blond with a loud boisterous laugh caught my attention. I knew no one in Chicago and this upbeat, positive blond bombshell named Yvonne, who reminded me of Bette Midler with her looks, voice, and personality, was the first to welcome me and embrace me as her friend.

Yvonne and I were inseparable from the first encounter when I timidly ordered a drink for one of my tables and she sported a toothy grin in response, we clicked—soul mates. Yvonne was a total blast. She laughed easily and cried freely—she felt and expressed her emotions intensely. She brought the fun out in me. We were like Oprah and Gayle King. I was the serious one (like Oprah) yet, if prompted, I had quite the funny bone when I let down my guard and trusted a person into my personal space. Yvonne, on the other hand, was smiley and friendly (like Gayle) and open to anyone and everyone. She was very social, while I preferred to be alone when I wasn’t working or studying.

Our plan was to grow old together and sit in rocking chairs on a front porch, sip on lemonade and recall the “good ole days.” 

And then Yvonne died at the young age of 44.

According to Yvonne’s two sons, their mom mixed alcohol with anti-anxiety medication before going to sleep and didn’t wake up. I was shocked.  This was nearly 15 years ago and yet it seems like yesterday.

Yvonne and I were yin and yang—total opposites, yet our core was the same. We both believed in the Divine Source, psychology, addictions, and family. She had a tendency to over drink and use prescription medication and I was a total “foody”.  Although our family of origins were completely different, we both had very difficult childhoods and coped with our emotions inappropriately. I couldn’t stop eating. She couldn't stop drinking. When she drank it was excessive (whiskey on one rock!) and she dabbled with cocaine. When I ate it was a bag of cookies followed by doughnuts, and topped off with candy bars.

I didn’t understand her disease and she certainly didn’t get mine.

Yvonne’s body was svelte and her blond main blew in the wind. She laughed easily and effortlessly. I had medium length light auburn hair and a plump body and I was ultra conservative and serious. You could say I had a low grade depression while she was hyped.

Yes, Frick and Frack we were.

The death of Whitney Houston brought the death of my dearest and best friend to the surface, although it’s never too far from my mind. Listening to the talk radio hosts poke snide remarks about Whitney made me think about my own addiction (food) and Yvonne’s  addiction (alcohol and prescription medication).

I don’t think anyone on planet earth signs up for a life of total misery with cravings, indulgences, and crashes.  Whether we are born with it or pick it up from our environment, or a combination of the two—it’s devastating. It’s devastating for everyone, the addictive person certainly, and their friends and family, who watch the slow suicide helplessly.

I was one of the fortunate ones—I hung up my food addiction and turned to recovery while around the same time Yvonne took her last breath. I knew I had to get off the merry-go-round and nip this problem in the bud or risk health consequences. I chose abstinence from sugar, flour, and wheat and turned to a Higher Energy  Source(God)—and it worked.  It wasn’t that I was an overnight success but rather it was a process.

Today, only a few short weeks after Whitney Houston’s death, the tabloid buzz has died down—people moved on. How sad one more addicted person’s life taken by the lost battle with addictions. The end of a great icon and the end of my best friend Yvonne, to never hear their laughter and voice, though it’s forever embedded in our memory.

Death is so final. Or is it?  Sometimes when I look up at the stars late at night I find the twinkle mirrors the sparkle in their once wide eyed brown eyes.  Perhaps Yvonne and Whitney are angels—and they'll live on through us                                                                              

http://weightcontroltherapy.com/

Photos by: Dr. Lisa Ortigara Crego

I Was On the Oprah Show—Almost!

Okay, so I wasn't on Oprah, and perhaps almost was only from my perspective. The show was on persons who lost over 100 pounds and kept it off and of course were inspired by Oprah. I got close to being chosen but my mistake was not pinpointing a specific Oprah show that inspired me.

I had trouble picking a show because ALL of Oprah's shows motivated me  in one way or another. I watched her from back in the early Chicago days on AM Chicago when I was struggling financially, physically, and emotionally. Often I only had a few dollars to my name and barely enough money to fill my gas tank and yet I never found it difficult to binge eat. Hmmm, an addict—food in my case—always finds money for the substance one way or another.

When the Chicago brutally cold winters became more than I could stand, I moved to Florida—very saddened at the idea of not watching AM Chicago which Oprah hosted. But, as luck would have it, the Oprah Show was syndicated a few months after I moved (September 8, 1986) and one day before my birthday day on September 9, 1986. What a gift!

A few years back I dragged my sister Christy to Oprah's store in Chicago to purchase something from Oprah's closet. My sister didn't "get" why I had to have a piece of Oprah's personal wardrobe in my closet. She thought I wanted to wear it—but of course I wanted it authentic—untouched by my body. So, in my closet hangs an Oprah shirt, and not just any old shirt. It's a Richard Metzgar crisp white cotton shirt with bell sleeves that fan out at the bottom.

And of course while I was in Oprah's store I purchased an O baseball cap, magnets with her slogans of motivation for my refrigerators and I snapped a gazillion pictures of Harpo's buildings.

Yes, no doubt Oprah has inspired me, not only in weight loss success but in all of my successes, even though I couldn't pick a particular show.

So, what does this have to do with almost being on Oprah's show—or anything for that matter.  Although I failed to mention what particular show inspired me, which cost me the chance to appear as a guest on Oprah's show, it didn't stop me from reflecting on how far I've come in understanding my food addiction and helping scores of others find answers and direction to their eating disorders.

No doubt, Oprah has been a mentor to me from back in the days when I was a young woman who branched out alone from a small town in Wautoma Wisconsin back to my roots in Chicago, Illinois at the age of 21, without any degrees or money in my pocket and made my way through college, master's degree and a doctorate degree. I had tons of student loans to carry me through my dreams and to date I am happy to report I'm debt free because I learned to respect myself and my money. Yes, I learned this from many of Oprah's shows.

I always felt (and feel) each step towards growth Oprah made I did too—even with weight going up and weight going down. I, like Oprah, had a best friend Yvonne, who I cherished and still do. She died in 1997 in her sleep. Watching Oprah helped me through the most trying loss I had ever had at that time.

Prayer, meditation, intentions, intention map were tools I learned years back from Oprah's shows—with the intent to go on Oprah.

Dr. Wayne Dyer, in Excuses Begone! states, "...when you engage in the act of active contemplation, you set in motion a powerful force—you allow yourself to be lived by the great universal mind or Tao (p.103). In other words when you set the process of creation into action, what you contemplated comes to fruition.

The day the show I almost was on aired my heart ached with anticipation as it began and then as I watched each persona twirl and unveil their large clothes, letting them fall to the floor, a burst of relief took hold. This is not what I represent—diet mentality and showing off weight loss. Instead, my goal is to paint a picture of hope and relief from food addiction and eating disorders. I aspire to light the way to a better way of living. I bring focus to recovery and the added boost is weight loss if needed.

I  hold a doctorate in addiction psychology and I'm certified as a certified eating disorder specialist and have personal recovery from an eating disorder which helps me to help others.

So, I didn't make it on the Oprah Show, I'm still contemplating and sending out my intentions which I intend to manifest to appear on OWN but in a different capacity than a rah rah look at me and my weight loss to let me show you the way to peace and tranquility once and for all—to break free from your food addiction and obesity.

I'm relieved my Higher Source didn't manifest my intention prematurely. My time will come. Oprah's made a huge impact in my life and will continue to in all my adventures left to unfold.                                              

I no longer want to be on the outside looking in to what might have been but rather to what will be.

Photos taken by: Dr. Lisa Ortigara Crego

Obesity in America...

On an Oprah show I heard Mrs. Obama discussing the obesity epidemic in America and how change needs to take place, especially getting children to incorporate more exercise and healthy foods as part of their daily lifestyle.

Great idea! But is it realistic?

I can't count how many families have sought my help with their children's obesity. When I suggest the entire family get off sugar, white flour and processed foods they get the deer-caught-in-the head-lights look. Or they stare at me like I sprouted horns right in front of their very eyes.

I go on gently to explain how attracted we are to processed foods because they are addictive and I discuss what food addiction looks like in children and adults. I share my food addiction story along with my recovery and often, in time,  they begin to nod their heads as they hear their story in my story.

Early in childhood I was fixated on sugar—never getting enough and going to great extremes to obtain it: stealing, hiding and hoarding.

Although I didn’t have an awareness of food addiction, I knew something was wrong.

In hindsight, I realized I ate out of control and bargained with myself and God to stop—after this one last pastry. I felt shame if I got caught stealing food or money to buy food; yet, I didn’t have the mentality to understand I was compulsive eating until my adolescent years when weight began to pile on. And even then I didn’t know there was an actual eating disorder called, binge eating disorder—and that I had it.

What I did know was my friends ate when they were hungry and they instincually knew to stop eating when they were full, and they didn’t hide or sneak their foods, nor did they have shame every time they ate.

Food addicts have a severe and ongoing disturbance in the manner in which they handle food. The depiction of addiction to food resembles the hallmarks of any addiction. The food addict is caught in the grip of a compulsive, habitual behavior that can’t be controlled.

The binge eater begins eating when she didn’t plan to and can’t stop eating when she wants to. Addiction is the persistent and repetitive enactment of a behavioral pattern the person recurrently fails to resist and that consequently leads to significant physical, psychological, social, legal, or other major life problems.

Loss of control over eating and obesity produce changes in the brain, which is similar to those produced by drugs of abuse.

Food addiction is a loss of control over eating coupled with the physiological tolerance and psychological dependence that occurs when a specific stimulus (food) is ingested. Typically, this addiction can result in negative consequences for basic life functions and relationships with family; social situations; intimate relationships; the sufferers relationship with God and spiritual development; and/or in relation to the law, health, and work life.

Research indicates more than half of Americans are overweight and at least a quarter near obesity. Weight loss products and services  cost consumers over 50 billion dollars annually and the numbers are climbing. More than 325,000 deaths are attributable to obesity-related causes each year.

My mother and grandmother were included in these statistics; their lives were shortened through a series of strokes and finally pneumonia as a result of their obesity.

So, yes I applaud Mrs. Obama for addressing children and family obesity and the wonderful suggestions she brings to the table. Unfortunately, I believe the problem goes deeper than exercise and healthy food choices. Food addiction is rampant and until their is a clear understanding about what it is and what the signs are all the diet and exercise suggestions will continue to go unheard.

Photo Taken by: Benjamin Crego

Celebrating and Mourning Simultaneously...

Happy Birthday America! Today is the Fourth of July...a day worth remembering and reminiscing. Today is the day America decided to become independent of Great Britain. This day represents freedom to make our own rules and be responsible for our welfare.

My day began with sunny, blue skies, white puffy clouds, birds singing. A picture perfect South Florida day! A time for America to remember and celebrate what was and what is. Although a truly glorious day, somewhere someone is mourning. Someone is sick. Someone is losing someone. I think of Mom and recall several Fourth of Julys after she suffered a massive stroke (days before her 64th birthday), I was filled with sadness and questioned how the world could still be moving forward while I was suspended in gripping emotional pain.

The same holds true on this fourth day of July celebration. Even though some of us might be grappling with an emotional, physical, or spiritual loss, the 4th of July must go on. It is no doubt a time for celebration, which includes: picnics, boat outings, Barbeques, et cetera. Of course, with celebrations come foods, drinks and temptations. This is the American way! But...perhaps not everyone is so festive. Many suffer from illnesses and losses. Certainly Michael Jackson's family is mourning their loss. And in my own life I have losses and family members suffering from illnesses and aging.

I can't help but wonder what role food plays in illnesses, losses, and death. Take Michael Jackson for instance. He was a 50 year old icon, weighing in at 112 pounds at the time of his death. It is my understanding he was somewhere between 5-8 and 5-10 in height. In my line of work (eating disorders, body image dysmorphia, and mood disorders) this would be a huge red flag. Did he suffer from a low self body image? It seems evident by his history of plastic surgery and total change in body appearance he did. Did he suffer from addictions to prescription drugs? With all the surgeries and other medical issues he had he was in chronic pain and may have become addicted to prescription medications. I have witnessed in my practice as a certified addiction professional, addictions to medications quite common. Did he have an eating disorder tied in? Maybe. I did not hear anything regarding this; however, he definitely was not of a normal weight and did seem to have an issue with growing up. Perhaps he kept his body frame boy-like to avoid growing up.

Many female anorexics keep their body's girl-like, stop menses, and appear to harbor a flat chest to hide their femininity perhaps to be in control. My Mom did not restrict, she was the opposite. She wore her weight and then some. She ate large portions of high fat, salty foods. Perhaps she grew her body rather than restricted to accomplish the same goal of hiding her feminine side. As pointed out with Michael Jackson, men are not free from eating disorders and/or body image dysmorphia. My uncle, a rather large man, died from cancer. He ate heavy meals, did not exercise, wore extra weight, and may not have been spiritually connected. He died young...late fifties. I believe unprocessed foods play a huge role in healthy minds and healthy bodies. All of my self-hypnosis CDs address the importance of clean eating, exercise, and spiritual recovery.

And so here we are on this glorious day. The Florida sun tucked away for the evening as festivities of 4th of July come to a halt. I wonder, as the last bits of fireworks fall from the sky, sounds still within ear shot, how many close this day with full bellies and empty bellies both rumbling from restricting or binging. Many are alone and lonely, turning to food for comfort...or not. Eating disorders come in many guises. It does not matter if your black or white...or somewhere in between. It does not matter if you're rich or poor...or somewhere in the middle.

Look at Michael Jackson, Elvis Presley, Elizabeth Taylor, Oprah...all rich and famous, all suffered/ suffering from eating disorders and/or addictions of some type. Today, I celebrate America's Independence. I celebrate my independence. I broke away from food controlling me...and now live free. I hope those suffering and hurting today will find independence from pain and sadness...and the loss of loved ones. Life is to be celebrated. America is to be celebrated. Let's wave our flag proudly. We live in a country that offers help and hope to all.

Photos by: Dr. Lisa Ortigara Crego

Yo Yo Dieting

When I explain what is really going on with binge eating and food addiction patients often resemble the deer in the headlights look. It is like they are caught! As Oprah often says, "It is a light bulb moment!" Suddenly understanding their up and down weight loss and gain becomes clear. The yo yo dieting syndrome has an explanation...an answer. It's not their fault!


Yo yo dieting is more the norm than not. The other day I was watching a recorded Oprah show (April 30, 2009) interviewing Kirstie Alley and a second person (a non-movie star) Michael Hebranko. Both were telling their heart-felt stories of losing and gaining weight. A story I know all too well. I felt their pain and urgency. Not only do I understand their yo yo diet syndrome, the patients I work with day in and day out share a similar story. What is the answer?

As I watched, Kirstie promised with such conviction she would lose her weight again and owned the "secret" way to drop weight quickly. I sadly shook my head thinking about how many times I promised to lose the weight and that I had the quick weight loss secret too. Kirstie swore she lost 20 pounds in a few short weeks and would reach her "goal" weight come November(which I need remind you she had promised for her bikini debut back in 2007). Oprah interjected, suggesting she might be setting herself up for failure. I (alone watching this taped video) was cheering Oprah for stepping in and recognizing Kirstie's "diet" mentality perhaps being detrimental to her success. Sadly, at no time did Oprah or Kirstie acknowledge abstinence from their drug(s): sugar, flour, and wheat. It reminds me of the addict who promises they will never take another hit, snort, or shoot up again, but without admission to the addictive components, rather only looking from a "will power" frame of mind. I was hearing diet and addiction mentality.

Michael Hebranko was different than Kirstie in that he was not a movie star bearing the glitz and twinkle. He reminded me of one of the first patients I saw in my early days of practice. He was wearing close to 1,000 pounds of weight like Michael. I made weekly house calls (back in the 90's when I was new in my profession) and conducted psychotherapy. He was a delight to work with. He understood sugar, flour, and wheat were drugs to him and agreed to abstain. He understood developing a spiritual connection to something greater than himself was the key. Like Michael, he dropped hundreds of pounds. When he was at a safe place weight-wise we agreed he would drive in for therapy. Instead, he began to binge. Again, like Michael, he put his weight back on. Unlike Michael my patient passed away. He was only 27 years old. Addictions are stronger and bigger than our will to stop using.

Michael, unlike Kirstie, was aware he needed to take one day at a time and practice recovery. He was no longer reaching for the "quick" fix. He was humble and focused. He seemed to have an understanding that certain foods were triggers for him, but I did not hear words of abstinence from these foods, particularly flour. He also recognized a higher power (he called God) as he kept referring to God in the interview and how thankful and grateful he was for this second opportunity to correct his weight. He released 300 pounds. Although he had several hundreds of pounds to go, he was focused on the here and now, working his program one meal at a time with progress not perfection. I think he will make it!

Although I personally never weighed more than one hundred pounds above my ideal weight, I can relate to both Kirstie Alley and Michael Hebranko. When I was in the food I promised I would stop. I too vowed to lose the weight and never binge again. I meant it! After I would drop some weight and start looking good I would fall into a binge. It was not until I realized I had to let go of the addictive foods in order to be free of the obsessions and cravings. It was not a question of will power but rather of letting go of an addiction to specific foods. As simple as it sounds it worked. My weight corrected and I am free of cravings. Many patients I work with also are free from cravings and have returned to their normal weight. I wish I could say they all followed my path, but truth be told, many are on the same ride as Kirstie Alley and Michael Hebranko, gaining weight they lost.

Statistics show about 5% of people keep off the weight they have lost for more than a year. And, those that have the weight off for more than 5 years have a better chance of staying thin. Thank you God I fall into this category! I believe Kirstie is setting herself up for failure vowing once again to wear a bikini in November and rushing to lose her weight. This is diet mentality. I did not hear the same diet talk from Michael. I heard a clear understanding it was a process that would take time. He seemed to understand eating balanced meals and taking one day at a time was the ticket to his recovery. Although I did not hear specific talk about spiritual recovery, Michael echoed some thoughts regarding God. Kirstie did not mention any spiritual understanding. Perhaps this could be part of her missing link. It is not about the food, nor is it about the weight. It is about having an addiction to food. It is about turning to a physical, emotional, and spiritual recovery.

So, as I finished watching Oprah’s interview with two very familiar stories it allowed me to reflect where I had been and where I am today. Their story is my story; however, I am on the flip side of it and live life free of weight, worry, and diet mentality. No more deer in the headlights. The answer is eating free of sugar, flour, and wheat and turning it over to a power greater than our own. This power can be whatever is fitting for each person. It could be God, energy, the sun, et cetera...



Photos taken by: Dr. Lisa Ortigara Crego