He had moved to the U. Her group is testing a drug that, pits animals at least, acts like leptina hormone that controls hunger. Read more: The body-shaming Chadwick Boseman experienced is a reminder to think twice before commenting on a celebrity's weight loss. And there's the canteen once a week—people send you money, you can go and buy things like candy. However, for many people, consuming 0. I lost my first 40kg 6st in secret, without anyone noticing.
Levels of most of them fell in their study subjects. We know how important making choices about your overall health is, and we strive to provide you with the best information possible.
It was ironic: when I was sick and almost bedridden at kg, no one ever expressed concern or commented on my weight in any way.
I was tired of saying mean things to myself. The experience of gaining weight totally shifted Manning's perception of his own identity, and made him intensely aware of social pressures around weight.
As far as spine related complications are concerned, spinal fusions are a particular concern for surgeons; failed back surgery is one such possibility.
If this was how he thought freedom would be, losing all that weight, sitting right here with a stranger eating donuts in America.
‘A Basic Biological Reality’
He wore small black glasses that contrasted with his skin, which was blanched. Danny Cahill, playing the bass during a church service near Tulsa, Okla. Gastric sleeve and gastric bypass are two types of bariatric surgery.
Open pop-up dialog box Belly fat Close. He now weighs pounds. And I knew that if I wasn't meticulous about diet and exercise that I would gain it back. More From Weight Loss. Most Popular. My own story is proof of that.
These people claimed not to be able to lose weight, despite restricting their calorie intake to fewer than 1, kcal a day. For instance, individuals who have arthritis or disrupted cartilage in the knee joint may not see any benefit while others may respond differently and gain some benefit without being percent pain free. Haub plans to add about calories to his daily intake now that he's done with the diet. By Mayo Clinic Staff. These are called "complications.
There were some things, at least, that made him happy. Her house was paid off, but he was so dedicated to eating that he eventually asked her to remortgage her home to feed his addiction. And that's super important after weight loss, as your metabolism can slow down drastically. One day we passed a strip mall with a pizza parlor and a Dunkin' Donuts, and he waved for me to pull in. Warwick, R.
Most of what I was eating was pretty healthy, and I was putw a regular at the gym; I was even working with a personal trainer. It was as if my body had suddenly become a public forum, after years of having been a taboo subject. That frustrates a lot of people. The only information you need is height, weight, sex and approximate daily activity levels.
You're Super Tense
Losing a Key Hormone Slower metabolisms were not the only reason the contestants regained weight, though. Hall said. Danny Cahill, playing the bass during a church service near Tulsa, Okla. Something had to change. The ambulance drove south, followed by photographers trying to snap pictures of the human being the tabloids had dubbed "Man Mountain.
Personal trainer Drew Manning is flipping the script on weight loss narratives. He quit his job as a land surveyor weight puts do it. Of course, Manning had his critics. They wore compression undergarments to hold it in. In nutrition science, there's good evidence that most weight loss diets don't work, particularly in the long-term. As their weight returned, their leptin levels drifted up again, but only to about half of what they had been when the season began, the researchers found, thus helping to explain their urges to eat.
Undoing the progress When I think about what went wrong, it all comes down to getting too comfortable. His weigght is probably a result of caloric reduction, said Dawn Jackson Blatner, a dietitian in Chicago, Illinois. The premise held up: On his "convenience store diet," he shed 27 pounds in two months. She recommends seeking support from a therapist who will help you talk through any difficulties you might be facing.
This time around, at 40 years old, Manning wants to understand the challenges that older adults can face with weight loss. He walked among the trees to the water's edge, leaning on his cane, pausing for long stretches to stare into the trees, his athletic shoes crunching in the gravel, snapping a picture of the water with his phone, the skin of his arms hanging in the sunlight.
According to the Dietary Guidelines for Americans, men in their 50s need about fewer calories daily than they do in their 30s due to this muscle loss. I was still following a generally healthy lifestyle—eating tons of salads, fresh fish, and spinach omelets with only occasional "treats"—but I wasn't as strict as I had been before.
Power walker loses pounds. Their experience shows that the body will fight back for years.
Belly fat in men: Why weight loss matters Belly fat is nothing to joke about.
Within a year, I was in the normal weight range for my cm 5ft 9in height; and a few months later I weighed 63kg 9st 13lb — the least I had weighed since the age of 12 or
Although the number on the scale isn't the only way to judge your continued success, research wright that those who avoid the ritual tend to pack on more weight than those who don't, according to a British Journal of Health Psychology study. People can hugely misjudge their calorie intake, and overweight people have a strong tendency to underestimate the calorie content of their food. This slows your resting metabolism and can make it harder to maintain your weight loss goals. I think he mopped the floor at one point. Instead of relying on willpower, she says she developed a system of rules that prevent temptation in the first place. Can't bear to leave your Schwinn?
Inside was a single bed covered in clothes, a backpack, and a computer keyboard. Watching his discount TV, they spent three hours in his room singing obese man loses weight puts it back on tunes and Queen, Mason doing his best Freddie Mercury in a warbly British accent, her bent over laughing. According to experts, when you sit all day at your desk, the bulging biceps and washboard abs you worked so hard to build at the gym begin to break down. He wanted out of his skin, and skin was all that he'd become. He was willing. When he failed yet again to push someone over to the light side, he knew something was wrong. Before Fit2Fat2Fit, the self-described foodie wife would make treats, and Manning wouldn't even look at them.
You Eat As Much As You Did Pre-Weight-Loss
He reduced the level of triglycerides, which are a form of fat, by 39 percent. Now, I argue the opposite whenever I can. More Stories. Before his Twinkie diet, he tried to eat a healthy diet that included whole grains, dietary fiber, berries and bananas, vegetables and occasional treats like pizza.
She weighs herself each morning, which forces her to be conscious of her weight. The researchers were concerned that the contestants might try to frantically lose weight before coming in, so they shipped equipment to them that would measure their physical activity and weight before their visit, and had the information sent remotely to the N. Cahill started weighing and measuring his food again and stepped up his exercise. At times, he found himself running around his neighborhood in the dark until his calorie-burn indicator reset to zero at midnight. And they are looking afresh at medical care for obese people.
Follow better. He was terrified of his father, a martinet who spent years in the army and military police. This is weiggt fat logic argument I encounter most often, and which I believed myself for many years. At his heaviest he'd weighed 20 pounds shy of 1, An intercom system on his front door allowed restaurants to deliver food to his bedside, entering his little flat through the doors and hallways specially widened by England's National Health Service.
Cahill knows that now. The fitness trainer's journey had come to an end after successfully losing more than 70 pounds -- six months after he purposely gained the same amount. To say that some children have a genetic propensity towards obesity means only that they have an inherently larger appetite than naturally slim children, who feel hungry less often. The Ipswich fire department had to smash through his bedroom with sledgehammers and move his bed out with a forklift. But, he added, the findings made sense.
Losing 5 percent of their weight was successful for about 10 percent of women and 1 in 12 men. Now I look back on it, I wdight know if I can relate back the person lying in the bed. Read more: 'Fitspiration' posts do nothing to increase exercise rates, but they may make followers feel worse about their own bodies. But the deciding factor in whether children have a tendency towards being fat is the set of conditions created by their parents and the rest of their environment such as school mealswhich can serve either to encourage or discourage obesity. Commenting on this piece?
Low-carb vs. For instance, now he could walk. To his surprise, his first weight gain challenge uncovered some of his own biases about weight and his own self-worth. CNN When Drew Manning stepped out from behind the cardboard cutout of his former fat self on Monday, the audience of " Good Morning America " was appropriately shocked.
But the deciding factor in whether children have a tendency towards being fat is the set of conditions created by their parents and the rest obese man loses weight puts it back on their environment such bakc school mealswhich can serve either to encourage or discourage obesity. The test was repeated after the subjects had followed a dietary plan containing healthy, low-calorie foods for several months. Nadja Hermann. But a few years later, right before I left for college, I was getting a routine physical when my doctor gently brought up weight loss. Inside North Korea: Water park, sacred birth site and some minders. The less you drink, the fewer calories you'll consume and the less likely you'll be to gain belly fat.
In part, this was true. Obese man loses weight puts it back on is not about whether your bum looks better as a size 36 or a size It might lead losse surgery at the wrong spinal level, as well. To say that some children have a genetic propensity towards obesity means only that they have an inherently larger appetite than naturally slim children, who feel hungry less often. I decided to set other priorities in my life; I trained as a psychotherapist, got married and started renovating an old house. The only information you need is height, weight, sex and approximate daily activity levels. When I read that line, I cried.
The bottom line is that most people use far more than 1, kcal a day, but even people with extremely low consumption still need significantly more energy than 1, kcal. But obese man loses weight puts it back on few years later, right before I left for college, I was getting a routine physical when my doctor gently brought up weight loss. Sat 5 Jan For men older than age 65, it means up to one drink a day. At my doctor's suggestion, I signed up for the Weight Watchers online system the same week that I moved into my dorm room.
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The last participant to complete the race, several hours before Chastain, was a woman in her 70s. Complications relating to the anesthesia, for example sleep apnea, are also possible. Second breakfast Macadamia nuts Croissant 12 p. The American Academy of Neurosurgeons says that in surgeries done to relieve low back pain, the failure rate for morbidly obese patients is higher than for other patients. Fat logic is not just a problem for fat people; I have never met a person who was completely free of it.
In the puts back few months, I was proud of reaching various milestones, such as walking for half an hour without stopping, or spending 20 minutes on a bike for the first outs in years. While many of the contestants kept enough weight off to improve their health and became more physically active, the low weights they strived to keep eluded all but one of them: Erinn Egbert, a full-time caregiver for her mother in Versailles, Ky. I parked my rental car, and as I approached the building the front door opened and Mason, around pounds and holding a cane, extended his hand. The Ipswich fire department had to smash through his bedroom with sledgehammers and move his bed out with a forklift. The results, the researchers said, were stunning. He tried three times and was finally selected.
He had addressed the questions ad nauseam on talk shows, and would probably have to address the questions forever: How had he lost control of his body? In back teenage years, I tried every diet going, and would sometimes lose weight, only to put it all on again. In one experiment, the brains of obese and normal weight subjects were scanned to record their reactions to food. Confirm with your doc that the medication is indeed the culprit, and discuss what other treatments are available. Now, I argue the opposite whenever I can. Over the years, his insatiable urge to eat kept overcoming him, and his weight climbed: pounds, He was all too familiar with that precarious balance.
The study, which has been published in the American Journal of Public Healthtracked the weight ofmen andwomen in oj UK from to Multiply this weight puts in workload over an average lifespan and you get a compelling case for weight loss as an approach to alleviate knee pain in individuals who are overweight or obese. Reuse this content. David managed to lose an incredible lbs kg in the space of two years. Once at the top, I would sometimes pretend to cough or laugh to hide the fact that I was out of breath. I lost 13 stone — now I know the truth about obesity.
MORE WEIGHT-LOSS SUCCESS STORIES
Children with naturally large appetites, by contrast, will pounce on the proffered fare. These people claimed not to be able to lose weight, despite restricting their calorie intake to fewer than 1, kcal a day. I realized that actually being fat is hard.
To say that some children have a genetic propensity towards obesity means only that they weifht an inherently larger appetite than naturally slim children, who feel hungry less often. In December, Mason emailed me to say that he had recovered from surgery. She was tired of endless weight loss gimmicksso she developed a system of routines that allowed her to lose the weight in about a year. Centers for Disease Control and Prevention. He said the experience made him confront his own issues with body image and self-worth. I was six foot four, so my stomach was wider than I was high. It is also the one I kick myself about the most, in retrospect.
Michael Rosenbaum, an lses researcher at Columbia University who has collaborated with Dr. At his biggest, he weighed pounds. They ended up getting evicted. They showed just how hard the body fights back against weight loss. Afterward, he would cower in the pantry off the kitchen, feeling overwhelmed with shame. He was exhausted of wondering what it might be like outside his house. A fat girl gets naked.
Slimmer and Hungrier
Good sources of prebiotics are legumes, onions, artichokes, spinach, and oats, and probiotics can be found in fermented foods as well as yogurt. Proietto and his colleagues looked at leptin and four other hormones that satiate people. Stomach stapling is one of the oldest types of bariatric surgery.
At the age of 30, I tipped the scales at kg 23st 8lb. Does muscle really weigh more than fat?
I did it the "right" way, avoiding fad diets or extreme measures.
It's completely normal to want to blow off some steam with your co-workers after a long day at the office. I remembered what Leslie had said to me, only a month earlier, when she was one of the only friends in the world I could find willing to talk about Paul.
Out of thepeople studied, just 1, men and 2, women managed to attain a normal body weight for their heights, which is incredibly low.
This time around, at 40 years old, Manning wants to understand the challenges that older adults can face with weight loss. The key is the mental and the emotional issues. It was a drug of abuse, freely available, heavily marketed. Her house was paid off, but he was so dedicated to eating that he eventually asked her to remortgage her home to feed his addiction. I began to be just like a drunk. Start sipping the green brew for a slimmer, more efficient calorie-burning you.
I had made it. This will likely mean going for physical therapy sessions that emphasize back exercises and core strengthening. To lose excess fat and keep it from coming back, aim for slow and steady weight loss. It also includes visceral fat — which lies deep inside your abdomen, surrounding your internal organs. Getting older plays a role too. These are called "complications.
Myth 2: ‘Being overweight isn’t that bad for you’
One day last summer, six years after Wdight gastric-bypass surgery, I went to see him. He began sleeping in a recliner because he was too heavy to sleep lying down. But for every five pounds they lost, they were, without realizing it, eating an additional calories a day. In the stagnant country of his little bedroom, on the island of his gigantic bed, with two curtains sewn together to clothe his body, Paul Mason decided that he didn't want to die. Click here to learn more.
And that's when Mason met Dr. Power walker loses pounds. The researchers were concerned that the contestants might mzn to frantically lose weight before coming in, so they shipped equipment to them that would measure their physical activity and weight before their visit, and had the information sent remotely to the N. I must be done with my diet now, right? So when the bad bugs stay in control, it puts you at risk of uncontrollable hunger surges and unwelcome weight gain.
Of course, Manning had his critics. About 53 percent of patients regained lost weight within two years and 78 percent put the weight back on within five years. Home Page World Coronavirus U. You probably think you need your skinny, double shot latte to wake you up in the morning and give you the extra boost to get through the workday—but if you always opt for coffee over tea, you could be missing out of some major metabolism-boosting effects. At one point he gained more than pounds in six months.
These people claimed not to be able to lose weight, despite restricting their calorie intake to fewer than 1, kcal a day. When I weighed kg and was more or less unable to move for six months, average sporting achievements were as likely for me as breaking Olympic records. We listened to music as I sat among the detritus of everything he owned, stacked everywhere: his gigantic old crutches, clothes, his coffee pot, the TV he'd purchased at a discount because it was a display model without a remote. Just because they're touted as portion controlled and low calorie, doesn't mean you should stock up on these.
Myth 2: ‘Being overweight isn’t that bad for you’
Always a fitness junkie, staying in shape comes naturally for Manning. A ih research firm focused on digital transformation. If your crazy-busy life has left you feeling worn down and stressed, that could be the reason you're starting to look a bit mushy in the middle. Joseph Proietto of the University of Melbourne and his colleagues recruited 50 overweight people who agreed to consume just calories a day for eight or nine weeks.
Carrying jan weight — especially belly fat — can be risky. If you drink alcohol, do so only in moderation. Surg Neurol Int. She used a pedometer to walk 20, steps daily and went for an hourlong run three times a week. His body mass index went from Understanding Diverticulitis Surgery.
This site complies with the HONcode standard for trustworthy health information: verify here. But he's not ditching snack cakes altogether. She used a pedometer to walk 20, steps daily and went for an hourlong run three times a week. The results also show that high fluctuations of weight were present in a third of the patients, which suggests those who were trying to lose weight struggled to keep it consistent. Sorry, your blog cannot share posts by email. David has now gained it all back - and more.
How to use routine to maintain a healthy weight:
It may even be fatal. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. But this is one case where following the crowd isn't a good idea. I know now that I tore my cruciate ligament; but at the time my doctor said it was probably nothing to worry about and prescribed me ibuprofen. If performing the exercises proves too difficult, you might ask your therapist about an aquatic exercisewhich tends to be easier on joints.
Cahill knew he could not maintain his finale weight itt pounds. My weight was the elephant in the room, which no one mentioned — until I brought it up myself. Although the number on the scale isn't the only way to judge your continued success, research shows that those who avoid the ritual tend to pack on more weight than those who don't, according to a British Journal of Health Psychology study. Having experienced that, I understand so much better how hard it can be.
He still needed huge amounts of medical care. This will help you see how your current eating habits are affecting the number on the scale and what obese man loses weight puts it back on need to change. The only thing that gave him comfort in life was food. He took electrolyte tablets to help replace the salts he lost through sweating, consuming many fewer calories than before. But for every five pounds they lost, they were, without realizing it, eating an additional calories a day. A leading-edge research firm focused on digital transformation. These people claimed not to be able to lose weight, despite restricting their calorie intake to fewer than 1, kcal a day.
Myth 1: ‘I eat only 1,000 kcal a day, but I don’t lose weight’
Many assumed she was pregnant — she even got sent flowers for the baby and offered seats on the subway. Reprint Permissions A single copy of these materials may be reprinted for noncommercial personal use only. According to the Dietary Guidelines for Americans, men in their 50s need about fewer calories daily than they do in their 30s due to this muscle loss. For a class project, Haub limited himself to less than 1, calories a day.
Now On Now on Decider. Not all knee pain is caused by being overweight. Despite the wishes of friends and family who thought she was too thin before, she back now down to pounds. A neighbour who saw me gardening worriedly asked my husband how much I now weighed and asked him please to make sure I ate more. The presence of such co-morbid conditions can make your surgery trickier for the doctor to complete without incident. Deep venous thrombosis in spine surgery patients: incidence and hematoma formation. It's well known that obesity is associated with metabolic, cardiovascular and other problems such as diabetes and heart disease.
However, those efforts are only temporary: backk we have become habituated to new behaviours, we no longer have to struggle to maintain them. My weight was the elephant in the room, which no one mentioned — until I brought it up myself. One factor that compounds this issue is weight. I cannot not just "eat healthy and exercise," that simple phrase we hear so often that makes weight loss sound simple.
Myth 1: ‘I eat only 1,000 kcal a day, but I don’t lose weight’
British businesswoman and columnist Katie Hopkins has a controversial view on the obesity epidemic: that the solution is simply to eat less and exercise more — and that fat people have no one to blame for their weight issues but themselves. This story has been sharedtimes. Your genes also can contribute to your chances of being overweight or obese, as well as play a role in where you store fat.
Hall said. If asked, I told people I was comfortable with my weight and that my only wish, if anything, was to be a bit iy. Lynn saw the difference in her husband in less time than that. Roy, when Mason was 15, made him go to the video rental store and ask the attendant for some of the movies in the back, in particular a VHS tape called Pussy Talkwhich he made his son sit and watch with him while he laughed.
Individuals respond differently to diet manipulations — low-carbohydrate or low-calorie diets, for example — and to exercise and weight-loss drugs, among other interventions. It was great, it was brilliant, that was my first 3-D movie," he said. Rosenbaum agreed. But at that same time, I was secretly visiting an obesity clinic as an outpatient and thinking about a stomach-stapling operation. My gym buddy and I now meet once a week for coffee and weight training.
By the Numbers
It might lead to surgery at the wrong spinal level, as well. He maintained the same level of moderate physical activity as before going on the diet. What is Involved in an Obesity Diagnosis? Looking to conquer your weight issues?
And yet appreciation came difficult to a man accustomed to being taken care of, a man who had spent years unable to do things for himself and then realized that others would do it all for him. I have to remind him, Paul.
The marathon had officially ended hours before she crossed the finishing line — the stands removed, the organisers gone. It is also the one I kick myself about the most, in retrospect.
Cahill set a goal of a 3,caloric deficit per day.
It was as if their bodies were intensifying their effort to pull the contestants back to their original weight. However, studies have shown that food preferences are not an inescapable fate.
These people claimed not to be able to lose weight, despite restricting their calorie intake to fewer than 1, kcal a day. If you're planning a back surgery soon, you may be thinking, and perhaps fretting, about all the things that could go wrong.
Now Losrs look back on it, I don't know if I can relate to the person lying in the bed. He had a proper dietary routine now, he said. For one thing, he went through a break-up partway through his weight gain phase, which made his experience with eating much more personal. Work out for two and a half hours. After months of daily weigh-ins, grueling workouts and adhering to a strict diet, you finally hit your goal weight. Practicing yoga, going for a runmeeting up with friends, and unplugging from technology for an evening are all things Zanini says are worth a shot. Cahill, 46, said his weight problem began when he was in the third grade.
For many MIS patients, pain following the procedure is minimal. If you drink alcohol, do so only in moderation. Back to reality The pounds continued to pile on, and I eventually reached a point when I couldn't deny that it was a problem. If you eat too much and exercise too little, you're likely to pack on excess pounds — including belly fat. Messier's study concluded that for every 1 lb. David spends every day at home eating, sleeping and watching TV.
And with his report from Dr. He made a satisfactory Mmmmm and put the rest in the little paper bag for later, a restraint he once felt incapable of.
Kelly Burch is a freelance writer living in New Hampshire.
Schwartz, who was not involved in the study.
I didn't realize what I was doing to myself.
I look so horrible,' constantly complaining about how he looks," she said. His blood pressure and cholesterol shot up with such dramatic weight gain.
They showed just how hard the body fights back against weight loss.
Now On Now on Page Six. I could tap into the so-called " obese man loses weight puts it back on start effect ," which says that the beginning of a new cycle like a Monday, a new month, etc. Reprint Permissions A single copy of these materials may be reprinted for noncommercial personal use only. I was frustrated, embarrassed, and heartbroken—and I was also angry. You can connect with her on Facebook or on Twitter writingburch. I just wanted to eat intuitively and to implement what I had learned without such a structured system. Facial Plastic Surgery: Overview.
However, for many people, consuming 0. Mason always finished the dinner his mum prepared—his father wouldn't let him up kn the table if he didn't clean his plate. Restricting carbs completely will cause any newly-added, fat-burning muscle mass to be metabolized for energy, rather than carbs. Mason, his parents, his two sisters, and an aunt lived in a middle-class house in the town of Ipswich, about 75 miles northeast of London. Manning says he didn't realize the effects of his weight gain would be more than physical. To say that some children have a genetic propensity towards obesity means only that they have an inherently larger appetite than naturally slim children, who feel hungry less often.
Appointments at Mayo Clinic
However, balancing the calories you consume with activity can help prevent weight gain, despite your age and genetics. Haub's body fat dropped from See more conditions. This site complies with the HONcode standard for trustworthy health information: verify here.
When I weighed kg, there was no one who seriously claimed that losing weight would not be a good idea for me. He's still the biggest person I've seen. He was so mentally and physically exhausted he barely moved for two weeks after his publicity tour ended. And how does the same person possess the will to do both? I haven't allowed myself to be open to that. Soon the scale hit
However, studies have shown that food preferences are not an inescapable fate. When I read that line, I cried. When it didn't zip, I mentioned the need for slimming underwear. It might lead to surgery at the wrong spinal level, as well. When I saw about 3 years after my lightest I spiraled into denial, not stepping on the scale for a very long time. To lose excess fat and keep it from coming back, aim for slow and steady weight loss. Nadja Hermann.
And watch out for these sneaky sources of added sugar. His breakfast was the meal of ten people—a pack of bacon and a pack of sausages and countless eggs, and his snacks were 40 bags of potato chips and 20 chocolate bars a day. To make matters worse, the types of food we crave when we're tense tend to be fat and sugar-laden, say University of California researchers. That is, if you haven't read our exclusive report, how to choose the best breakfast for you. He was sent to Norwich prison for a year.
He would starve himself, and then eat a whole can of cake frosting with a spoon. She remembered that after the surgery he was in the hospital, for baackand had complained about the food. It was harder in so many ways because I'm at a different place," Manning said. That he had made it there. When he got on the scale for all to see that evening, Dec. But just because you dropped the pounds doesn't mean you can eat as much as you did before your weight loss.
At work he became too big to deliver mail. I was obese man loses weight puts it back on up, and he helped me. Even mild sleep deprivation causes ghrelin—the hunger-stimulating hormone—to go into overdrive while simultaneously reducing levels of leptin—the hormone that suppresses appetite. There's no need mwn be a slave to your scale; checking in once a week should do the trick. IE 11 is not supported. But he had started a new career giving motivational speeches as the biggest loser ever, and for the next four years, he managed to keep his weight below pounds by exercising two to three hours a day. The dangling skin of his arms was gone, but he was having trouble walking again; the arthritis in his knees was so vigilant that he would ultimately require another surgery, in another hospital, another milepost in this endless journey of self-reclamation, to replace his knees.