Showing posts with label illness. Show all posts
Showing posts with label illness. Show all posts

Sunday, January 8, 2012

Get Fit So You Don't Croak It Before Your Time

I have been catching up on my reading, and I stumbled on this December 27th post from Mark's Daily Apple, entitled "An Open Letter to Kids and Teens (and Infant Prodigies)".

In this post, Mark  encourages kids to "get healthy while you're still healthy, while you're still unbroken. It's always easier – and more effective – to keep a new knife sharp than to restore a chipped, rusty, neglected old one."


And I totally agree, and wish that I read this earlier, because I would have commented that this is true not just for kids, teens and infant prodigies, but also for those of us who are a bit older.  It is never too late to stop taking care of yourself.

I also would have commented that this advice is especailly relevant to those of us who have parents who are chronically ill, overweight, type 2 diabetic and/or have huge bellies.  We have the same genetic predispositions that our parents do, by and large, and that puts us more at risk for these same health issues than the general population.  It is both a nature and a nurture thing. 

Take me and mine, for instance.

Five years ago, there was no one in my immediate family who weighed less than 200 pounds.  My mother, at 5'1", hovered around 200.  My father, 5'9" and 210.  My sister, who was 22, at 5'4", weighed about 320 pounds and had chronic back issues.  At 26 and 5'6", I weighed 236 pounds.

My father had and has a huge belly.  He is a type 2 diabetic, with a significant medical history of cardiovascular disease.  He has had such major and near 100% arterial occlusions that he has undergone angioplasty and coronary artery bypass graft surgery.  He was 36 at the time of his first angioplasty.  He has suffered numerous strokes, transient ischemic attacks, heart attacks, and several incidents of congestive heart failure.  His diabetes is ill controlled, despite caloric restriction, compliance with the ADA diet, and pharmaceuticals. 

He happens to be in the hospital at this very moment.  Coincidentally, he was admitted on 12/27 - the date that Mark's post was written.

My dad's continuing medical issues have been a major source of inspiration in my efforts to be healthy by adopting a LCHF and mostly primal diet and by exercising.  When I started this WOE last year, I was a 30 year old, 231.5 pound, prediabetic woman with high blood pressure who needed weekend naps to keep up with my then 3 year old. 

One year ago, the week after Christmas 2010, my dad was also admitted to the hospital and nearly died of cardiac complications.  Between that admission and his CABG surgery in February 2011, dad had at least 6 incidents of congestive heart failure. 

Fast forward to today.  He is back in the hospital.  He went in because his daily diuretic meds stopped working, he retained 13 pounds of water over a 4 day period, and he was having difficulty breathing.  Since that admission, he has lost kidney function.  He has needed three dialysis treatments, and two blood transfusions.  He is still gray and swollen.  He is on prednisone as well, and his blood glucose has spiked at 500+.  It is hard to distinguish the cause of his present illness from the symptoms that he suffers.  He has so many comorbities, that when one thing goes wrong, everything goes wrong.

It sucks.  It hurts.  I am afraid for him.  He is sure that this is the year that he dies.

Yesterday, I was at Stew Leonard's - a popular grocery store near my home.  It is the kind of place that gives out samples of food items on Saturday and Sunday mornings and early afternoons.  Oddly enough, the aisles are not your typical grocery aisles, and in fact, resemble a winding path.  As a shopper, you are compelled to wander your way through the entire store, and pass by all of its offerings.  This is a one way path.  It is often the case that on a busy weekend day, you will follow the same families as they shop ahead of you. 


Yesterday, I was behind a family of very fat people.  Mom and Dad were both over 400 pounds, easily, with mom being the larger of the two, and exhibiting a large, tremulous gut, which draped down over her sweatpants-clad thighs.  The two children, a boy and a girl, were between 9-12 years old.  Each one must have weighed around 175 pounds.  The mom could barely walk.  They grazed at each food station set up along the way, often crowding around the stations and eating several individual food samples each.  Each child had entered the store ahead of us, nursing their own 20 oz bottles of Dr. Pepper.  They whined throughout the entire store that they were hungry.

I just wanted to cry.  We had left my dad's hospital room not one hour before arriving at the store.  As I looked at these parents, who were probably my age, I thought to myself:

How much time will they have before something goes seriously wrong with their health, and they die, or become disabled, and can't take care of their children? 
How sick will these children get?  How large will they grow?  Will they begin to exhibit the swollen bellies of their parents?  Do they have diabetes already? 

Life passes by quickly.  It doesn't take long to get to the place where you are so fat and sick that you probably won't survive.  Ten years ago, my dad looked pretty good for his age and moved around well.  Everything started to go downhill after that. 

I sometimes wonder whether, if he had made some changes to his WOE before the downward spiral began, he would be gray and swollen in the hospital today. 

Nope.  It is never to early to start taking care of your health.  I'd like to believe that it is never too late, either.

Friday, April 1, 2011

Get thee to the doctor!

I've been doing a lot of research on PCOS and "estrogen dominance" and "progesterone deficiency".  Turns out having PCOS causes you to have a lot of estrogen running around in your body.  Too much estrogen and not enough progesterone tends to make you fat around the midsection, hairy, moody, headachey, etc.  As if these symptoms weren't bad enough, having such an estrogen imbalance can apparently increase your likelihood of heart disease and breast cancer.  (And, let me be the first to tell you, having PCOS can make you infertile).  If these symptoms sound familiar, consider getting yourself to your MD for a check up, and have them run some blood tests on you. 

Hey - I'm not a doctor, but I believe that if you feel like crap you should get yourself to the MD and find out what's going on. 

I know a lot of people who prefer to stick their heads in the sand and just live with their symptoms.  An example: I have an Aunt Pam.  She is one of my mother's sisters.  After my mom was diagnosed with breast cancer (for the second time) in 2008, she had genetic testing performed to determine whether she had a gene abnormality on BRCA1 or BRCA2 (these are human tumor suppressor genes - women and MEN who have an abnormality in these genes are much more likely to get breast, ovarian, and other types of cancer than the general population).  Mom had a deletion on her BRCA 2 gene - she had hereditary breast cancer.  With the exception of my Aunt Pam, my mom's children and her brothers and sisters all were tested.  We were all negative, thank God.  My Aunt Pam didn't show up for her appointment, she didn't reschedule, and she has never been tested, to this day.  Aunt Pam has two biological children, each of whom would also have benefitted from knowing whether their mom carried such a gene abnormality (because that would mean they have a 50% chance of having the same gene abnormality...the same elevated risks). 

My mom died last August, at age 54.  If she had had the benefit of a "heads up" ten years earlier, maybe she would still be alive today.  (Case in point: Christina Applegate).  To squander the opportunity to learn more about your own health, when it could provoke action that could save, extend and/or improve your life (and the lives of your loved ones), is tragic!

We only have this one life and this one body.  We should take care of them the best we can.  You're never too old to start taking care of yourself for the first time in your life.  Hey, I'm 31.  I'm obese and not that healthy at the moment.  But, I'm working on it, and my life is improving as a result.  There is no shame in being a work in progress.  There is no shame in investing in YOU!

Thursday, March 31, 2011

Life Choices, Establishing Priorities, Acting Like an Adult, Headaches, Test Results

I just don't feel like myself this week.  I had Monday Misery, which is not my usual deal.  I have been grumpy, tired, and short-tempered.  Today, I have a headache, which I never get.  It is right in the dead center of my forehead and face, and completely encompasses both eyes.  The pressure is very uncomfortable.  I haven't been able to get my butt out the door to exercise this week.  I have been creaky and achy in my back and knees and neck.  I have had such high energy since starting low carb ten weeks ago.  In contrast, this week just feels so strange.  I am uncharacteristically low energy and just plain, old miserable.  Sigh.  I don't think it's the diet.  I am wondering if I'm sick, hormonal (see also, my birthday post and evil kate post), or starting up with my seasonal allergies. 
I just had a comprehensive blood screen at the doctor's and looked at my results.  Mostly everything is good and normal.  My glucose, after eating lunch, tested at 96 (which is normal for fasting blood sugar, so pretty good for midday after lunch).  My blood pressure has been consistently low.  My cholesterol is pretty good: its a little high, but the ratio is really good, and my HDL level is high. 

My estrogen count is way way up.  My new doctor confirmed my PCOS diagnosis yesterday after an ultrasound.  She said that my estrogen is elevated because I haven't ovulated in months.  So, I have started taking progesterone to induce a period, then I'll take clomid to induce ovulation.  Hopefully, this will start the old ball rolling.  Can extra estrogen make you beastly?  I am wondering.

So, the whole point of figuring out this PCOS thing, and getting my body in gear, is because I am, at least now, not ovulating and therefore infertile.  Hubby and I have been thinking about having another child. 
After going to the doctor yesterday, and talking about conception and stuff, stewing for a while, then getting Satan's own headache and being short with the wonderful daughter I already have, I began to feel that I am not ready to have another child at this moment.  I love kids.  I love my own kid to the moon and back and I am so proud of her that it makes my teeth hurt.  Part of me really would love to have more children.  The other part of me, which has been silent for a while, thinks that I should get my shit together, lose my weight, enjoy being thin and healthy, and revisit pregnancy when I am healthier overall and will have a safer pregnancy.  I also want to be able to hang out and do adult things that I have only recently been able to do… like join my friends for a movie or happy hour.  That same part has also suggested that I should think about focusing on my career.  Career and new baby don't necessarily jibe, you know.  (Not unless your significant other is willing to be a Mr. or Mrs. Mom… and mine isn't).  Both parts of me have been positively screaming "PRIORITIES, ESTABLISH YOUR FREAKING PRIORITIES", although they clearly disagree on what those priorities should be.  Is it just panic?

Let's make a list of priorities:
  1. Keep a close eye on the health of my dad and grandma, and be the health bouncer in my family.
  2. Spend time with my family.
  3. Get healthy.
  4. Get my billable hours on track at work.
  5. Get City and related stuff in order.
  6. Enjoy being an adult.
  7. Take on a hobby.
  8. Think about having another baby.
  9. Think about running for office again (I really want to take a term off).
That feels right to me.  I have to sit with it for a while, but for now, this feels like what I have to do.  I feel this need to take care of and preserve what we already have, before we add anyone or anything else in to the mix.  

Why do I feel selfish and kind of sad?  Am I depressed?  I just don't feel like myself!  I am going to go back through my old blog posts, and remind myself that I am usually a happy person who feels well!!!

Ow.  The headache has moved on to the top of my head, my temples, and behind my ears, despite the acetominophen I just took.  Maybe I should wait until I feel better before I make any Life Choices.

Monday, March 14, 2011

Musings, hormones, and self appearance (Not Quasimodo)

Yesterday, I kicked a little ass on the elliptical machine.  Oh yes, I did.  I always thought it was way harder to do than the treadmill.  However, now that I’m old, I realize something.  It can be distinctly uncomfortable to run on a treadmill due to the concussion that running causes to my prematurely-aged feet, ankles and knees.  Ouch.  The elliptical eliminates that concussion.  Also, I realized that the action of picking up and putting down your feet makes you breathe harder.  Oof.  So, the elliptical is actually easier to do than the treadmill.  That makes me wary of whether I will be able to run the 5K in May.  I mean, if the treadmill hurts that bad, the pavement is going to have to be even worse!  I don’t want to really mess up my joints, but I do want to run.  The elliptical gets my heart racing, but it doesn’t simulate running.  What to do, what to do.  I am going to have to make an appointment with my MD anyway, so this is just one more issue that I’m going to bring up.

I had some ridiculously good corned beef and cabbage in the office cafeteria today.  I am still starving, though!  It is nearly impossible to low carb snack at the office, as I left my new bag of almonds at home, and I have no other noshes here.

I am wearing a new outfit that I just received for my birthday yesterday.  It is a dress and sweater, size XL, and both fit comfortably, I am happy to say.  I can really tell a difference in my body as a result of my weight and measurements loss to date.  I appear a lot narrower in my profile view, and the top of my butt does not look like a shelf you could rest small photographs on.  (I am slightly exaggerating).  Clothes just look better on.  When I try to squeeze in to pants that are still a little too tight, I don’t have a muffin top thing happening.  Its good.

I am not excited about my vitamins.  Part of me really wants to blow them off.  I hate taking them – ick.  They are too big, and there are too many.  But I know that I do feel better on them, and my hair and skin looks better.

I think that I am hormonal, which is surprising, and surprisingly, a good thing.  I was looking back at my personality-related posts of last week, and man, was I a hardcore, beastly, bitch of a woman.  Also, I am all broken out on my chin.  These are, traditionally, signs that I am getting my period.  However, I haven’t gotten one in a while, because I haven’t been ovulating. 

My doctor suggested, years ago, that I may have PCOS, or poly cystic ovarian syndrome, because of some of the symptoms I was having (irregular periods, facial hair, overweight despite diet changes).  She sent me to a nutritionist, who put me on a low carb diet (which I never followed).  I never followed up on it. 

Now, I’m starting to think about having another child, so I’m consulting with this new MD, who has one all of this testing on me and is taking another look at my old medical records from my last OB and primary care MD.  I stopped taking the pill back in December, and I haven’t had a period since.  The new MD says I’m not ovulating, and we’re trying to figure out why.  Since I’ve had these PCOS symptoms forever, the MD said that it was practically a miracle that I got pregnant the first time. 
Now, I feel distinctly like I’m about to get my period, which only happens if you’ve ovulated.  So, if I got my period without medical intervention, that would be a good thing. 

I’d like to believe that as I get healthier, my body is getting back on track and will be operating normally.  Boy, I’d like for it to operate normally.  I would really like to not have scalp psoriasis (I’m flared up and hating it right now), and I would like to have the ability to get pregnant (even if I don’t actually try to get pregnant right away).  I would also like to get off of these high blood pressure meds, get my cholesterol well under the recommended max for normal, not have joint pain when I run, and never have my freaking back go out again! 

I know that all of these are good goals.  The true, overarching goal, though, is to feel like a normal 31 year old, and not like someone who periodically feels like she’s 80.  I’m tired of feeling like a scaly, hairy, mean, old geezer.  (Jesus, I just make myself sound like Quasimodo sans hump!!)

Looking better in my clothes, while satisfying, is just NOT ENOUGH.  Come on, old body, get with the flipping picture!

Monday, February 7, 2011

Day 15 - Weigh In

I weighed in on Sunday morning.  My current weight is 221.5, which reflects a total weight loss to date of 10 pounds.  Very happy about this, although it seems clear that my weight loss has slowed from the first week. That's okay with me.   I haven't cheated on the diet, which is good.  Its been a long two weeks.  Everyone is sick!  My dad is in the hospital.  Posting is hard at the moment, but I'm going to stick with it, even if the posts are very brief. 

Thursday, February 3, 2011

Days 10-12 // 2/1/11 - 2/3/11

It has been another long week, once again, dominated by poor winter weather conditions and a sick toddler.  So, here’s my update for the week.  Days 10-12 passed in a blur.  So far so good.  I have stuck to this diet pretty well. 

I have made a minor (but permitted) deviation – I was absolutely craving some chocolate, so I went to the store to buy some unsweeted baking chocolate and some Truvia (erithrytol).  You’re not supposed to have chocolate yet, but I&N allow a small bit if you can’t help yourself, so long as you keep it as low carb as possible.  They recommend melting a small amount of chocolate, sweetening it with artificial stuff, then adding in heavy cream and whipping it to make a sort of chocolate mousse.  This is basically what I did, although I didn’t whip mine, and I added some more spices, and kept it the consistency of a chocolate sauce.  It was very satisfying, and only a few tablespoons were enough to take care of my craving.  I’ll post the recipe.  It was really enjoyable, and only 2 net carbs.

Water Retention
I want to explain my weight gain and quick loss between Days 10-12 this week.  The weight gain was due to water retention.  I ran out of my BP meds, and couldn’t get to the pharmacy to refill (our roads were treacherous).  So, I racked up some serious water weight over about 3 days.  I was finally able to get the meds on the afternoon of Day 11, and then I peed away about 2 pounds of water or so by the morning of Day 12.  I know this wasn’t a good thing, so don’t chide me.  I won’t do it again.  Just goes to show that I really need to be healthier and lose weight  so I can get my BP under control.

State of Mind
I am treating low-carb like it is just the way that I eat.  I’m not sure when I stopped thinking about “being on a diet”.  But, somehow, amazingly (and for now), I’m just going with it and it is not a struggle.  I think it is going to be key to keep myself out of the “starvation” and “suffering” mindset by being positive minded, keeping myself full and indulging in the stuff we’re allowed to eat on this diet plan. 

Monday, January 31, 2011

Day 8 - End of Week 1 - Weigh In

So, today was Day 8, the end of Week 1 of Phase 1, and boy, was it a crazy week! Being sick occupied 2 full days, at least. I'm thinking that being sick probably made it so that I didn't want to eat - maybe it boosted my ability to avoid problematic, carby foods... Who knows? Looking back at my posts in the earlier part of the week, it seems that I definitely had a zest for food.

I weighed in this morning, after going to the bathroom 3 times (ugh, the remnants of the stomach bug). This morning's total weight was 225.5. That is 6 pounds lost this week, and 6 pounds lost total. That is without doing a lick of exercise. I am going to incorporate exercise in Week 2 and see if it amplifies the weight loss. Hopefully it will :)

I haven't noticed any change in how my clothes fit yet, and I feel a bit bloated about the middle. I wish that I had gotten my act together and measured myself, as India and Neris advise.
I'm going to get that measuring tape today, and start doing measurements on weigh in day, so that I can keep track.

How do I feel:

Full all of the time with no desire to eat. Almost uncomfortably full. No cravings at the moment. Yesterday we went to Stew Leonards to grocery shop, and I managed to avoid all of the carby samples without any trouble, even as my child munched them right in front of my face.

Number 2
Well, today, I'm definitely, uh, looser, than most people seem to be at this part of the diet. I attribute that to the stomach bug screwing with my intestines. This morning was gross, like someone waved a magic wand and proclaimed: "you shall expel everything you ate on Day 7, NOW!" It was gross, but I have to tell you, felt good since yesterday I was sickly full and waiting, somewhat desperately, to go (although not constipated). Bizarro.

The "flu-ish" day
India and Neris identify a period in the first week of Phase 1 (that would be my last week), where you feel like you have the flu, and you're listless and gross. They attribute it to carb detox. I may have hit that point last night into today. I felt gross-ish yesterday (as described), and very tired and achy in the afternoon. When we came back from Stew's at about 4, I just wanted to go right to bed and sleep, which is not normal for me. I ended up taking a benadryl last night, because I was having some kind of skin reaction to something. Today, I couldn't get up at all. I slept to 10 a.m., which I haven't done since my college days. I still feel a little dopey. Maybe its the benadryl, althought, I've taken a lot of benadryl in my time and never had a reaction. I think I'm just going through the "flu-ish" stage. Hopefully its done soon. I&N said that you just have to push through it, and you'll feel fab.

Bothered:
I am glad that I lost 7 pounds, I'm just bothered that I don't feel any lighter. I think I'm still waiting to, uh, vacate some stuff (see, number 2, above)

I'm going to go back and skim through I&N's book tonight and refocus for the coming week.

Friday, January 28, 2011

Day 6 - 1/28/11

Well, this blog has fast forwarded to Day 6 because, between Days 2-5, the stomach bug made a horrifying appearance in my house. I, myself, was personally, uh, occupied, with the bug from Days 4-5.
Day 4, I didn’t manage to keep anything down, even water.
I went off the diet temporarily on Day 5, because all I could keep down was diluted G2 gatorade (about 10 carbs from that beverage for the day) and about 15-18 triscuits. I also skipped the vitamins and supplements on Day 5 because I could not imagine trying to swallow anything as large as my fish oil pill or co-enzyme Q10 pill.
I’m still a little skeeved out about it, so today, on Day 6, I’m going to take my vitamins and supplements this evening when I feel more settled.
Breaking the Habit of Daily Weighing
I am really into weighing myself daily – and the diet book says not to do it. I need to break the habit, because although it has been encouraging (as of Day 4 a.m., I was down 5.5 pounds), if the scale goes the other way, it might lead to discouragement and maybe some poor behavior on my part.
Sidebar
The interesting thing I learned, though, is that I didn’t lose a drop of weight after being sick and literally not consuming anything that "stuck with me" on Day 4. I weighed myself on Day 5 in the morning and was down to 223 pounds, but when I weighed myself this morning, back up to 226, which I attribute to thoroughly rehydrating myself on Day 5. Gross sickness aside, does this mean that by sticking to the diet I lose more weight than I would if I didn’t eat at all? Not that the latter is an option (I’m not the kind of girl that can go without), but just goes to show how effective the diet is and how terrible an idea it is to starve yourself.
In any event, I am feeling much better today. I am not going to give myself heck about my carb intake yesterday – I was sick, it was minor, I needed electrolytes desperately, and there was no way I would keep down dairy or protein if I tried.
My Resolve / Head Games
I told my husband, last night, that I felt really good about this diet, and I thought I could lose a lot of weight on it. I really mean it. It worked immediately, and seems to still be working. I feel like I am in control right now, and that feels even better than my initial weight loss, because I’ve always said about myself and diets that "I have no willpower".
I am realizing now that "willpower" may not be the issue, because… as India and Neris observed in their book (and I am very loosely paraphrasing), the first and most important issue is your perspective, i.e., you have to keep firm in your mind that you are not "suffering" on this diet, that you are not "denying" yourself, and focus on enjoying the delicious, fresh food in front of you and not bemoaning what you can’t have and would really enjoy. You’ve got to be firmly positive inside your own head.
When dieting in the past, I’ve always obsessed about what I can’t have, and I’ve gotten overwhelmed and cheated, then completely fallen off the wagon and never looked back.
Now, I am positive about what I’m doing and what I’m eating. I made some kick ass pork chops in a brandy-mushroom cream gravy the other night, with spicy sautéed spinach on the side, and as I ate it, I was like, "heck ya, I am not denying myself" and I really meant it. My daughter’s mac and cheese was appealing, and so was my husband’s side dish of plain white rice (see Cravings section, below), but I didn’t feel the desire to cheat, and it didn’t take much "willpower". It was an easy decision on my part, and by making it, I felt that I was doing something good for myself.
Cravings
I don’t have major cravings yet, although I have been lusting after… plain boiled white rice with butter and salt on it. Crazy, no? Maybe its because my stomach’s been off and that is about as bland as you can get. I foresee some difficulty in the future with bread, pasta, chocolate, etc., but I’m going to cross that bridge when I come to it.
Number 2
1 cup of sautéed spinach is nature’s broom. It was some scary…stuff.
I’m not sure what the deal is, but somehow, lightly sautéed spinach seems to work better for me than raw spinach. Maybe it is because sautéed spinach is more dense and compact than fresh, so you get more in 1 cup of sautéed than you do in even 2 cups of fresh (and I have a limit to how much of the fresh stuff I can eat in say, a salad). Also, I really enjoyed the sautéed spinach a lot more than the raw stuff (even dressed up).
Recipes

Porkchops with mushroom cream gravy:
4 1 inch thick, boneless pork chops
Quick Brine (4 tbsp salt, 1tsp honey, 1 cup water, shake well and put in tupperware)
Butter
8 oz mushrooms
Splash of brandy or cognac
2/3 cup cream
1/3 cup chicken stock (gluten free)
Brine porkchops for 2-4 hours, dry thoroughly. Brown porkchops in butter in frying pan over medium high heat. When browned on both sides, remove chops to plate and keep warm (don’t worry about cooking through). Add mushrooms to pan (don’t add salt) and brown thoroughly. Add splash of brandy and deglaze pan. Add cream and chicken stock. When mixture bubbles, turn heat down to medium, add pork chops, put lid on pan, and cook for about 5 minutes more or until chops are cooked through. Take off heat and allow to rest for about 5-10 minutes before consuming.
Note: you probably won’t have to add salt because your pork chops will add plenty of salt to the party. Also, I’m not worried about the honey in the brine… not much actually gets in to the chops.)
Sauteed spinach
Butter
1 garlic clove, smashed
½ cup cream
1/8 tsp Crushed red pepper flake
Fresh nutmeg, grated, to taste
Salt and pepper to taste
3 cups raw baby spinach
Cook garlic in butter medium saucepan over medium heat until it softens but does not turn brown. Add everything but the spinach to the pan, infusing the cream with the other flavors, heat to simmer slowly over medium low heat. Add spinach in 2 batches, waiting until first batch wilts before adding second batch. Fold cream over spinach mixture to help spinach wilt. When greens are vibrant green but softened, remove from heat and serve.

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