Tuesday, December 13, 2016

Today is day 2

Yep, I still want to lose 10 pounds. I had some snacks last night, but I'm okay with it. I think that's the key. Being okay with "it." To the end goal, I'm making eggs with asparagus and cheese this morning. I've been so burned out on vegetables with the paleo way of eating, but I made a decision that I need to get over myself on that one. Tonight, there will be bell peppers and mushrooms with dinner, and maybe some cabbage. I need to ride this wave as long as I can.

My plan today is to walk a half mile. I don't want to push the knee too hard, but I also don't want to be still. I also will work my shoulder to prep for PT next week (swimming is right behind!).

Tomorrow is doctor day. My A1c was great, but there are other bloodwork indicators don't look so good. I'm wondering if they have to do with lack of exercise and healing? We'll see.

Tuesday begins.

Monday, December 12, 2016

Update to Monday's post

This sort of reminds me of a quote from It Starts with Food:  "You could do anything for 10 days, right?"

How about 1 day? I'll start with that. 

So, I have a goal

I will lose 10 pounds.

There, that's pretty simple. I won't obsess over it, but I will make it happen. Today, I walked 3/4 mile. That's step one.

Do I have a plan for this goal? Not really. I just know it will happen.

My left knee is still being stupid. There's little endurance there, but I'll keep working on that too. It's swollen and the muscle/tendon that goes down the outside of my left leg from knee to almost ankle is still a little twitchy. I have a tiny spot that is not quite healed yet, and that's keeping me out of the pool.

I'll keep walking 3-5 days a week and will begin my shoulder exercises as I have shoulder PT next Tuesday. I'd like to have a week of shoulder rehab under my belt before I go.

Looks like three goals:

  1. Keep rehabing the knee.
  2. Rehab the left shoulder.
  3. Mindful eating with a loss of 10 pounds over time. 
I can do those things. 
I should also add that I'm going to blog for a bit. I'm feeling like expressing myself these days. 

Monday, December 5, 2016

There are times...

...when I truly love my life.

I'm 61. I have no needs. We're thrifty enough to take care of needs and still have some left over for wants. My wants are few and usually include something to do with sewing.

I live on beautiful land in a wonderful house. We're redoing rooms one by one, and progress is all around me.

There have been a few medical challenges for both Richard and me, but we've gotten through them with each other's help and care.

Richard is a devoted husband, Winnie is a wonderful person to have living in the house, and I try to do my part in return.

Our kids care. Allison came on Thanksgiving as a total surprise to Richard, me, and Winnie. Tom and Ronnie knew and did such a good job keeping the secret. I can't say enough how it delights me that she cares enough to pull that off, and that the boys care enough to keep it a surprise.

And then there's the dog. She couldn't be more of a keeper than she is. She has her devilish quirks. What dog doesn't?

Yep, I love my life. We're at the backside of the spectrum and every day is a gift. I will continue to treat each day that way and can only hope for all of us that we can continue along this road.

Sunday, November 6, 2016

Reintroducing paleo into my life

I never felt better than when I stuck to a pretty decent paleo way of eating and living. I'll never be super strict, but know that I can keep things along the right path.

I'm still in the rehab phase of knee replacement surgery on October 25, and I'm feeling pretty decent. I'm eating too much in the way of foods with added sugar, lots of added sugar, and drinking diet sodas.

I'm ready to take a step back and begin with 6 days on/1 day off. I don't need to go totally nuts; I'm already eating the right foods in general. Just time to take a look at it all and make some decisions.

Sunday, October 30, 2016

Pretty eventful week

The knee on the left was replaced 6 years ago and the one on the right was replaced 5 years ago. Different surgeons, different outcomes, different scars. The left knee never was quite right. I found out 3 years ago that the appliance itself was broken. So...

Tuesday, I had my left knee replacement revision surgery. Everything went well; he replaced only the tibial portion and that will be much better in terms of recovery. Dr. Carter said it came right off in his hand. I'm thinking that means I picked a good time to go on and get it done.

Since then, I've been pleasantly surprised at the recovery thus far. I've had a bandage on that has a date on it, sort of like do not open before Christmas.

Everything looks good. The drainage was there the first time I looked at it in the hospital, so it's not a big problem. Look at the bend in that thing!

It's not for everyone, but here's how it looked today when the nurse took the bandage off. I almost cried when I saw it. It's fairly straight and it sure looks like they pushed together a lot of the old scar to make it less gnarly. There are still markings from the surgery and a clear bandage on that won't come off until my first visit with Dr. Carter on November 9. I couldn't be happier with the first peek.

I'm already weaning off the pain meds and haven't had stabbing pain like with the other two; it's been more of an ache. I'm using the continuous passive motion machine a couple hours a day and have it up to 84° at first measurement by the PT the other day.

There's a lot more work to do, but I think I'm up to the task. I will see the PT tomorrow and we'll probably do some more exercises. I suspect I'll be going to outpatient PT in no time.

Monday, October 10, 2016

Cigs suck

I've quit smoking so many times. Hell, I've not smoked probably as much as I've smoked. I picked it up again when driving cross-country in the spring. And now it's time to stop, a-fucking-gain. What a mess. Now I go through three days of hell as my cost for smoking for 5 months.

Smoking - do I love it or do I hate it? I gain nothing by doing it except for diminished health. I gain everything by not doing it.

Today is the day. I have 2 cigarettes left. There are stores everywhere that sell more. For today, I will not buy any.

To be honest, Winnie has some. I need to make a declaration that I will not bum. I'm hedging. Why?

Today, I will not buy.

Sunday, October 2, 2016

Knee replacement #3 scheduled!

Yes, number 3. The first one included a bad knee appliance that I didn't learn about until 3 years ago. It is holding it's own, but could go kaboom at any time, and that would be catastrophic. And so, it's time. I want to get this behind me.

I met with the physician and set everything up, and my hemoglobin A1c (diabetes long term indicator) came back at 7.6. Dr. Carter requires, and is stringent about, a 7.5 or lower. Grumble! I spoke with the scheduler and agreed to have it checked again in another month (last Thursday). Yesterday, I looked at the blood work and, blimey, it's 7.3! That means we're a go for October 25.

I'm glad to get this behind me so I can get on with walking and being me, and being able to not worry about it ever again.

James Dalles, MD, if you're reading this, you really messed me up 6 years ago. I didn't know it was a bum surgery until I had a good one a year after your amateur hour at my expense. I figured everyone had knee replacements that resulted in the same gnarly scar and extended rehab and pain that mine did. Nope, you're just a skunk doctor. I am forever grateful you left town and Dr. Anthony Carter was recommended as an alternative. Thanks to you, I get to have yet another knee replacement. Double grumble.

On the plus side, it will be Dr. Carter again this time. I'd recommend him to anyone. He's a world away from the first guy. It's unknown whether this will be a partial appliance replacement or a full, and he won't know until he goes in and sees the damage. Either way, this time next year, I'll be better than like new.

Let the surgery prep begin!

Tuesday, September 6, 2016

One good day...

...followed by one that is out of control. Why? And it stops here.

Why may be the raisin bread with cream cheese for breakfast. I should have stuck with the right foods and I did not. The rest of today will be as paleo as it gets.

I need to learn from my mistakes and take it from here. That's all I can do. I can't go back.

Sunday, September 4, 2016

Just one day

Blood sugar has to come down. That's all there is to it.

I commit to one day of paleo eating. September 5.

Thursday, August 4, 2016

Surgery, clean eating, diabetes, and being me

It's been a world of nature around here lately. A wren set up housekeeping in one of my petunia garden pots and now has three babies. We've watched from nest build to one egg and then three eggs, to hatchlings, to hatchlings almost eaten by a snake!, back to no snake and relative safety in the nest again.

Yesterday, I visited with my orthopedist. We've talked for a few years about revising my left knee replacement. I am now scheduled for October 25. The bottom line is this needs to be done before something happens and a catastrophe occurs. I'm ready and can't wait to get it behind me.

As a result, it's time to clean up my act once more. Thank goodness I'm flexible, huh? Eating clean, not smoking, staying away from alcohol and drugs, and getting some exercise are all on tap. What better day to begin than today. I am calling it modified paleo. This is more for my blood sugar than anything else. And that always needs attention.

The house remodeling is going very slowly. We're waiting for the contractor to be freed up. I'd like for this to be over with too.

All in all, life is good. And I see no reason why it should not continue to be so.

Wednesday, June 22, 2016

My Fitness Pal to the rescue?

I reset MFP to 1 pound a week weight loss today. I think it's a more reasonable goal and provides the appropriate amount of calories. I'll still be paleo/low carb as much as possible, but the two main goals are diabetes under control and taking off the last 40 pounds of my original weight loss plan. I've come too far to stall. A second Whole30 got me started, but reintroduction has not been stellar. My blood sugars are up and down and need to stabilize. When they're good, they're really good. When they're bad, I can usually understand the rise, but other times, I don't get it at all.

I'll be a stickler for at least a week and take it from there. This is more flexible than Weight Watchers or other plan because I can stick with real ingredients and avoid as many additives and fake foods as possible.

P.S., I'm still using Pact App to log food, vegetables/fruits, and exercise for pay :)

Wednesday, May 11, 2016

Whole30-2, Day 11

I'm 11 days in and am learning lessons again. I started because I have a point to make with Dr. Hoag. No, I will not start juicing like he wants me to and there are more reasons why than I can list. Mainly, though, I like to eat.

My blood sugar has improved to the point where one of my medications was cut in half and may need to be discontinued with the low carb eating. And, I'm losing weight. It doesn't matter if I get on the scales or not, I can feel and see it.

I'm finding it less difficult to stick to the rules, though I do eat sugar-free mints (call the Whole30 police).

Another thing I have learned is that golden potatoes are my friend. Like pumpernickel bread, they do not raise my blood sugar like a traditional or red potato would do. I've read that the glycemic index is much lower for the yellows as compared to reds. A potato a person with diabetes can eat without worry! At least that is true for me.

I have 19 days to go and I'm fine with it. I am looking forward to seeing my doctor next week with improved sugars and less weight. And I will let him know I'm not juicing too :)

Thursday, April 14, 2016

Cancer update

I visited with my uro today and had a cysto. No tumors. Good news. There is still redness and healing from the allergic reaction to the mitomycin C. He called it (the med) "nasty stuff." He also said he say a bladder get torn up (like mine) and he hesitates to use it ever. Strong words. I asked him what the future held and he said it will continue to get better, but may never completely heal (not sure of his exact words). I did tell him I have pain with urination when drinking anything besides water. I also told him that leaking and urgency is less and less frequent. I'll return for another cysto in 4 months with the plan to graduate to every 6 months.

Knowing there is no tumor/cancer, I made an appointment with the orthopedist to deal with the broken appliance in my left knee. The appointment is in August.

My goal with all of this is to continue the good health trend. My diabetes was a little off kilter today, but then, I did have lunch out and a piece of pie.

Being 60 has been an interesting ride!

Tuesday, April 12, 2016

Whole30 -19

I'm making it happen. Planning the Whole30 has actually been a little fun. I know it'll be a trial, but I have to do it. In the meantime, I'm hardcore working on keeping blood sugars under control. It's a definite challenge because due to medications, my blood sugar goes down in the afternoon and I have to work in a carby snack.

It's a process.

Friday, April 8, 2016

Whole30 Day -22

I had a visit with my doctor yesterday and he'd like me to try juicing. I have a lot going on in my life right now, so we decided to reconvene on May 19. This is the decision I have made: Between now and then, I will work to drive my blood sugar down and lost 5-10 pounds before my next visit. Those are lofty, but doable goals. On May 1, I begin a determined Whole30. To that end, I ordered a few supplies today. There is a nutritional yeast product called Parma that tastes a little like cheese, and that's been ordered. My container is three years old. It's gotta go. I ordered Tessamae's BBQ sauce and coconut aminos. Both are heavy on flavor and go well with chicken and fish, respectively. Some items, I use every day, so I have them around already. Tessamae's makes a mayo I'd like to check out; they have it at Whole Foods. If it sucks, oh well. After the road trip, groceries will be bought accordingly. I'll clean out the frig before I go. I'm actually looking forward to this. I need to kick start some weight loss and get my A1c under control. I've lost 3 pounds since I saw the doctor last, but the A1c sucks because I've been eating crap. Between now and May 1, starting tomorrow because of that leftover piece of pie!, I'll eat within my parameters and close to paleo. That should begin some blood sugar repair and weight loss. I've found an herbal tea that I adore and it's sweet without being sweetened. It may be a good snack for the evening. I have plenty and look forward to continuing to drink it. I need to become obsessed and become one of "those" people who are on target every day for the 30 days. I have a huge mission to accomplish. I would prefer a lower weight and don't want complications of diabetes. So day -22 it is.

Tuesday, March 15, 2016

Getting obsessed with exercise - Goal 1

Wouldn't it be great to wake up with Demi Lovato's body or Kate Hudson's body? Oh hell yeah. Part of their success, according to a paraphrasing of what Ms. Hudson said on Kelly and Michael recently, is related to keeping in shape. I believe it. I don't have a trainer or a job that pays me enough to hire one, but hey, I can be obsessed for a little while too, right?

Carving out a specific hour of a day for a workout is great (and we will get to that in a little bit) but first, start each day with the mindset to move more. By reminding your body to get more movement throughout the day, you will be more likely to do it. So sit less and stand more. Take more steps and stairs. Walk to talk with a coworker instead of emailing them.
Stretch in your chair, squat to pick something up, park far away from stores so you will walk more, stand up when you talk on the phone and do some exercises while you watch TV. There are numerous ways you can sneak more movement into your day. Begin each day with a move more mindset and you will find them.
That's step 1. And that's also today's goal. Today, I will move more.


Sunday, March 13, 2016

Plans for the future - Part 1

Last year was filled with challenges. They're all easing up and I'm sure there are more challenges to come, but there are decisions to be made about how they will be handled.

Five years ago, I had my left knee replaced. Recovery was rather stressful and rehab was difficult and painful. I had two choices - do the work and work through the pain, getting better along the way OR sit around and complain about the pain and avoid all painful situations, lowering my chances for getting better and actually getting worse instead. I met people who chose the second scenario, and they may never heal. I met people who met the challenge of recovery head-on, and they're out there living their lives.

A year after that, I had my right knee replaced. Though the pain and rehab were not nearly as overwhelming, I had the same choices - take control of the outcome or whine about the process.

In both cases, I wanted the surgery and did what I could to heal appropriately with as little aggravation as possible. A positive attitude, good medical care (the second time), and family support both times, they were all the keys needed to make it happen.

I'm now 60 years old. Well passed the middle age mark. Time to face the challenges of the present and the future.

Thursday, March 10, 2016

Back to what I know best

It has been a long year and there have been changes, both positive and negative, that have encouraged me to do things a different way. That's a sweeping statement, but it filters down into functions such as what I eat, what medications I take, the exercises I do, etc. Day 40 of no smoking!

In searching for a balance, I'm going back to what works when it comes to food. I've taken the plunge back to paleo and am excited to have made the decision. It is the best eating plan for my diabetes, for my weight, for my overall well being, and there's no reason not to stick with a winner. A bonus is I like the foods! It is sustainable and flexible enough to stick with during travel and at home.

I started Pact again last night and plan on utilizing My Fitness Pal for three meals a day, not just one. There's a bit of a problem with my petering out mid-day and not carrying through. That is my biggest challenge with logging. With Pact, maybe $$ motivation will help with that piece of the puzzle. I started Pact with logging 5 days, 3 days of exercise, and 7 servings of fruits/vegetables for the week. I'll increase those, but had to choose something to get started!

So, let's get going with a pretty good breakfast:

Wednesday, February 24, 2016

Up and attum

Can you smell it? Pancetta and asparagus in the pan. Working on my sugar demon today.

I slept 3 hours, got up, and then was able to sleep another 4ish. Not bad.

I have a bunch of prep cooking to do today before I work. This follows my shopping trip for good foods and lower sugar intake quest.

And why did Abbey want me up at 7 a.m.? Grumble :)

Three weeks, five days, 10 hours, 43 minutes and 25 seconds - 396 stinky cigarettes not smoked, saving $89.26. Taking my life back and have saved: 1 day, 9 hours, 0 minutes. Quit date January 28, 2016 at 10 p.m.

Tuesday, February 23, 2016

Cancer Schmancer

I've had a couple followup cystoscopies and both were clear of cancer, but still the bladder is home to irritated, inflamed material from the mitomycin allergy. I'll report on the next one in a few months.

What also hasn't changed is sleep. Since the allergy blowup, I haven't slept all that well. Most nights, I sleep three hours at a time, which is an improvement over the 15 minutes at a time, but I'm still tired in the middle of the day. I went to bed at 9 p.m. yesterday after getting up at 7 a.m. and having a couple-hour nap during the day. I was up around midnight and then 3:30. I sure would like to sleep all night again some day!

As I continue to age, little things are happening in my body that equate to age, as in arthritis. I'm going to PT now to determine how best to exercise at the pool to keep the back going. This is a good thing!

Anyway, just an update, specifically about the bladder and sleep. I still haven't made any firm decisions as to what I'm going to do as I don't have an "end" yet. More to come.

Thursday, February 4, 2016

Focus on diabetes

Cancer - healed. Exercise - back at it for 3 weeks. Smoking - quit. Joints - aging bitches. Focus - diabetes.