Gorilla Beast Mode, Fat and Not Happy, Weight Loss Challenge, David Goggins
By Steve Carbonara February 19, 2025
Ok, so I guess the best motivator isn’t just putting myself behind in the challenge, like many of you, I am struggling with the mindset and the willpower it is going to take to get this done. So, what’s the answer? David Goggins is the answer! ...
Gorilla beast mode, fat and not happy, weight loss challenge, gained weight
By Steve Carbonara February 17, 2025
Being fat sucks, it really does. Here I am, starting day 17 of this 90 day challenge and I’m back at 295lbs. How is that possible? ...
By Steve Carbonara February 2, 2025
Weighed in 2-2-25 at 9am at 292.2 The thing about being obese is that it is really easy to lose weight. It’s also very easy to gain weight. Over the past few years I have seen my weight go up or down 10 lbs. over a weekend, once your body is ‘out of control’ you lose all normal when it comes to controlling your weight...
By Steve Carbonara February 1, 2025
So I weighed in last night at 10 pm because I wanted to start tracking the ‘official start’ of my process. I am kicking this 90 day challenge off today with coffee this morning and some soup during the day, and will begin a 5 day water fast tomorrow on the 2nd, so big things should come soon but as always there will be some pain...
By Steve Carbonara February 1, 2025
The Gorilla part of me is mad, it seems like my time being Fat & Happy has come to an end, it was one helluva run, I gotta say. It’s been a bit since my near death experience and my, ‘I need time to catch my breath, period, and the holiday season is over — so it is FINALLY time! Time to lose weight and get back to being what...
Ok, last post of preachy, sermon-like content, I realize how this all comes across. I’ve been told t
By Steve Carbonara January 6, 2025
Ok, last post of preachy, sermon-like content, I realize how this all comes across. I’ve been told that my presentation is Angry, Utopian, Redundant and Unclear. So let’s address those comments, as I believe I am speaking for the average patient across this nation. For some background, I’ve been working in healthcare IT since 1999. I have worked in 46 states, across all of the major cities and nearly 1,000 smaller cities and towns. For nearly 7 years I drove 1,500 miles per week at minimum and then for another 7 years I flew 3 weeks a month across the nation — point being that I’ve had 5,000 breakfasts and lunches at diners, talking with ‘the average American’ and hearing the stories of this nation. As you may guess, I’m not shy — and nothing is better than talking with the five 80 year olds sitting at the diner every morning at 6 a.m. in some small town. You hear stories going back decades, of what we were and what has changed.
Mask mandates forced on patient's that cannot breathe - denied health care
By Steve Carbonara January 2, 2025
Quick recap: I almost died, and United is poorly run and focused only on earnings and not patients. Done — let’s move forward. So how did I get in that hospital bed? Who was to blame? Well, let’s start with this one fun fact — even though there are many people to blame for many things in your life, the first person who needs to be blamed in every scenario is you. Personal accountability (an obligation or willingness to accept responsibility or to account for one's actions) is the focus of Patients First. We all need to take responsibility (able to answer for one's conduct and obligations) for ourselves before we can demand it from the other stakeholders in healthcare.
Heallthcare Insurance Costs
By Steve Carbonara December 31, 2024
So where were we? Oh yeah, I got discharged on Saturday, August 3rd, at 2 p.m., and by Monday, August 5th, at 1 p.m. I received a denial of obligation from United. How did it get there that fast? Did they hire someone to drive it to me to make sure I knew they were going to screw me? Having a letter telling me that there was a ‘restrictive clause’ on page 50 of a 70-page contract that I had no right to review and negotiate was hilarious! It was better knowing that they recorded my two calls with their support team that clearly told me that my coverage allowed immediate use — remember, they told me the only ‘restriction’ was that the payment needed to be processed! I cannot wait to get those recordings during discovery — not sure if we will get there, but I know I’m not caving in just because someone threatens me with ‘going to collections!’
By Steve Carbonara December 27, 2024
Ok, the last post was a bit evangelical, I’m sorry, but I didn’t know where else to start. Should I have just jumped into telling you how bad my healthcare experience was, or should we be evaluating this discussion from a more holistic perspective than just blaming all of the bad actors? I guess we’ll never know, but thanks for coming back!
By Steve Carbonara December 23, 2024
Why a gorilla you may ask, well, let’s just say I’ve been called that a few times in my life. While I can be polished and executive in my delivery, I am also very blunt and just as aggressive as I am kind in my tone. As I write my personal story, and as I speak as a patient, I believe that full transparency is key, and that means full emotional transparency, as healthcare is not just ‘data and facts,’ it is also our mind, our emotions and our spirit — healthcare is as much love as it is any medical device, doctor or drug.
Patients First Foundation
By Steve Carbonara December 19, 2024
Introducing the Patients First Foundation and "Patient Zero," Steve Carbonara shares his personal healthcare journey to spotlight systemic issues and inspire change. This blog calls for patient stories and professional insights to build a collaborative movement for patient-centered care, accountability, and solutions that prioritize health over profits.

Patient Zero Part - 5
Gorilla Insights: Advocacy for Rebuilding Healthcare

So near death experiences aren’t the only failure of healthcare, like I said earlier, there are many stakeholders to blame — or hold to account. Where did it start for you as a patient, or as an employee (insider) working in healthcare, or as a caregiver trying to keep your parents healthy and alive?

I can look back, with the information now available and say that it started everywhere for me, with everything — because everything affects our health. I remember eating chips back in high school, and specifically at a family event where there were chips with dip. As I ate them, I remarked to my family that they tasted so different. I asked, ‘what did they buy’ and why?  Turns out that they got the regular chips, nothing special, but they were made with a ‘new and better oil’ so they tasted different. Just like in that same time period, everyone started using Splenda instead of regular sugar. Looking back, those ‘new seed oils’ and this new ‘better sugar Splenda’ were much more unhealthy than their predecessors. In fact they were just cheaper ingredients, so that the food manufacturers could make more money per unit — that’s all it ever is right, health be damned, corporate profits rule the day.

RFK Jr. has set his sights on ultra-processed foods for a reason, these products are killing us. The ingredients used in the U.S. food supply are AGAINST THE LAW in the EU and thus their same ‘chip or cookie’ is a different version than what is sold in the U.S.!

How is that possible? With the FDA and the NIH, and the whomever, whatever, agency or leadership personality — why is it that every stakeholder that was supposed to protect the American patient (taxpayer, consumer) is not being held accountable to this obvious abuse of their role?

Looking back, it makes sense now why I started having massive intestinal issues when I was 25. I actually forced a doctor to order me a colonoscopy because I had such bad day to day issues, and I had recently had a friend get diagnosed with cancer of the gut.  I couldn’t believe that I didn’t have cancer after feeling so bad for more than a year. In the end, my colon was the ‘best colon’ he had seen in a decade! I didn’t win an award, no Grammy for nicest colon, but it was still regarded as a personal accomplishment by me and those close to me, which is me!


What was the answer? No diet changes, no exercise changes, no feedback at all other than, take this pill for the rest of your life because you have IBS. Wait what? I have irritable bowel syndrome at 25, after not having any issues for 25 years? Where did it come from, what created this, what can I do to fix it? Nothing — nothing! Just take this pill!

So our whole country was given sh&t food, got sick and then told there was a pill to fix it. Not sure if any of you have been gaslit in the past, but this is gaslighting 101, isn’t it?  They create the problem, you question your own sanity, then they provide the solution and you’re supposed to thank them — how in the hell does that work?

There are dozens of these stories, hundreds of them, for all of us. This is why Patients First is so important to me, we need to catalog these experiences nationally, and we need to act as a collective moving forward, so that we can demand a seat at the table where these decisions are being made. The politician does not represent us, they are a different class citizen, everything they do proves that to you everyday. They don’t even have the same healthcare coverage we do, they built our system and then don’t have to live within it! Collectively, we need to educate ourselves, once we are educated (on the same page) we can advocate for our needs, and once we 

There are 1,000 foundations and 10,000 new healthcare companies formed every year — all to solve these problems. Do you know what none of them share with Patients First?  We are building this for patients, by patients — they are all backed by big money (bankers, hedge funds) and thus will always serve big money — Patients First will serve patients today, tomorrow and always.
 

We are building an ecosystem of patient leaders, of for profit companies, and of non-profits organizations that are focused on the long term health of the American patient. Costs need to be controlled, transparency needs to be REAL, interoperability across technology needs to finally be allowed and all organizations earning money off of our lives (and deaths) need to be making that money responsibly.

Join the team, join the fight and make sure your voice is heard.

Until next time…Steve