Tag: diet

Medical Update

Happily, I can share a major change for me. My right compression sock has arrived.

TL/DR: my custom sock arrived for my right leg, ankle, and foot, freeing me from the bandages I’ve been wearing. I can bath normally again.

Longer story. As background, I had a few medical setbacks starting about six years ago. It began with an enlarged prostate gland which led to a obstructed bladder and an emergency room visit. A catheter was inserted up my johnson and I wore a bag on my ankle to collect urine for a few days. Of course, I was also put on Flomax.

Around the same time, I noticed some swelling and redness around my ankles. I didn’t know it then, but edema was developing.

I then suffered two broken bones in my left arm during a DIY effort about two years later. That slowed me down. My edema worsened. I’ve always been active. I had been averaging walking eleven to thirteen miles a day. Now that dropped way down. Six became a challenge.

The edema worsened. It was affecting the skin on my lower legs, ankles, and feet.

I then somehow ruptured my right peronous longus tendon. It snapped as I was crossing a street in Oakmont, PA, in May of last years. MRIs revealed it completely severed at my ankle. It’s supposed to wrap around under my foot, but nothing remained of it on my foot’s underside. Besides pain, it created major instability for me. And it slowed me more. My edema worsened.

Surgery was done for the ruptured tendon. The surgeon removed what was left of it and sewed up the end. My surgery wouldn’t heal. Now restricted to this boot to stabilize and strengthen my ankle, I was limited to bed rest for several weeks and reduced activity. The surgery wasn’t healing becaus the edema was worsening, causing my right ankle and foot to balloon.

It was a frustrating spiral.

Along the way, the medical ‘they’ decided that I seemed to be affected with lymphedema. In abbreviated explanation, my lymph fluid was not going up the lymph vessels and was accumulating in my calves, ankles, and feet, causing the swelling. Lymphedema massage therapy to stimulate the lymph fluid flow was set up. Three times a week, I went in and had my limbs from my calves down massaged and then wrapped in cotton, foam, and elastic bandages.

I’d also done some research about my lymphedema. Following advice and guidance from the net, I sharply reduced my sodium intake and heavily increased how much water I drank each day. I also reduced coffee and alcohol consumption, and added specific exercises to combat lymphedema to my daily routines. Part of that are self-massages to stimulate lymph fluid flow. See, from what I can tell, my body doesn’t process sodium well. Sodium is often used as a binding agent in processed food. The same thing was happening to me. Sodium is probably thickening my blood and thickening my lymph (or lymphatic — they express it both ways) fluid, driving the swelling. I drink more water to thin my blood and lymph fluid. I’m still walking six miles a day.

It all seems to have worked. I began my lymphedema therapy in Feb. Within a week, the left side graduated to the custom made compression sock. It was doing very well. I still wear that sock every day, washing it each night by hand. I’ve not had any swelling on that side. They will be providing me several more custom socks for it, and the right side.

My right side, which was the side of the surgery, also quickly improved. I no longer have swelling there, either. In fact, on Feb 19, my massage therapist put in the order for the right side’s custom sock. We expected it to arrive by the end of Feb.

But it didn’t. Concerned that it was lost somewhere, I called the company who provides the sock. They confirmed that they didn’t order it for me until the end of February, nine days after the order was put in. It seems that government bureaucracy slowed its progress, as it had to be approved by the powers before the order was created.

Anyway, the right side sock arrived yesterday. I get to go to physical therapy and have it put on today. And that means, a shower. See, the bandages could not get wet. So I was not allowed showers. I could wrap the bandaged limbs in plastic garbage bags and bath in a tub with my lower legs and feet outside the tub, but man, that wasn’t very satisfying.

So tonight, I shall shower. I suspect it will be long and hot shower, and very, very sweet.

8

Thursda’s Wandering Thoughts

It’s a potpourri of offerings and updates. Nothing important. Just sharing.

Tucker (pronounced Tuck-ah), my black and white wonder floof, had some issues this morning. I heard him in the litter box at a quarter to daylight this morning. The familar tones of him puking followed. I rose to check it out and soon learned that he was constipated. After comforting him, I warmed water and gave him a few CCs of that via syringe. Next, warmed water and made a slurry out of his kibble, which he eagerly took in. Finally, warmed water, mixed it with a Churro bisque and fed him a few CCs of that. Meanwhile, in his wanderings, three small, hard stools were released. After these treatments, he retired to his litter box and had a large bowel movement. Then he acted normal. But this is a warning shot; I need to shift his diet and ensure he’s eating more wet food. I’d noticed that since his teeth have been removed, that’s been a problem for him. I’m also picking up some cat laxative to keep on hand, just in case.

My healing continues, and my edema issues are improving. I’ve been experiencing bi-lateral edema. Started a few years ago, in conjunction with an obstructed bladder caused by an enlarged prostat. Ankle surgery last fall made it worse on my right leg and foot. I focus on reducing the swelling by day’s end every day. Here in general is what I’ve done.

  1. Increased hydration. I’m drinking a ton of water a day. Peeing a lot, too.
  2. Reduced alcohol and coffee.
  3. Reduced my sodium intake. Banished any lunch meat from my lips. Bacon and sausage, which I never consumed much in the first place. Breads were cut back. Swore off most sauces and all salad dressings. Almost completely cut out butter. Eating more raw fruits and veggies. I consult labels for sodium content before buying or consuming.
  4. Massage a CBD lotion into my legs, ankles, and feet each morning and evening. I follow the contours of my muscles, ligaments, tendons, and bones. This seems to help my blood and lymph flow.
  5. Wear compression socks during the day. I typically have them on for about ten hours.
  6. Elevate my feet. Each night I lie on my back with my feet up on the wall for 30 to 40 minutes. I exercise my legs, feet, and toes during this time. I then also elevate my right ankle further during the night.
  7. Exercise several times a day to raise my heartbeat. Significant emphasis is given to moving my legs and feet. Besides brisk walking, I stretch and flex, plank for a minute, wallsit three times a day for a minute at a time, run in place, and do some light free weights.
  8. Bought and wear orthopedic footwear.

This all seems to be paying off. My left limb and foot doesn’t swell much during the day at all. The swelling on my right foot, ankle, and leg is completely gone by each morning. Although it slowly swells during the day, the swelling isn’t as heavy. My mobility, strength, and flexibility have all improved, IMO, based on the exercises and my observations. I commence my lymph-edema massage therapy next week.

My wife and I both like to do word games like Connections, Spelling Bee, Wordle, and Hurdle. Each day, we talk about how easy or hard the games were for us. We also laugh about how we sometimes screw up. For example, with Wordle and Hurdle, you’re guessing a five letter word. You have six guesses. Correct letters show up in green. Letters which are in the word but in the wrong location are in gold or yellow. It’s humorous but irritating to realize after making some guesses that we’ve overlooked or have forgotten to use a letter in yellow in our guesses. It’s like, “OMG, I had a N in yellow that I forgot! What is wrong with me?”

It’s all fun and games.

0

Saturday’s Wandering Thought

Don’t you hate it when you gain weight but you hang onto clothes which no longer fit you because you tell yourself you’re going to lose that weight, and then you finally give up on that idea and give the clothes away or throw them out because it just depresses you to see all those clothes that used to fit you, and then, about a year after you give them away or throw them out, you lose weight and could wear them?

Yeah, me too.

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Limitations

I limit what I share. That’s true in life and includes my blogging.

One, I’m a private individual. Two, I don’t want it to appear as if I don’t respect and appreciate that I have it pretty good. Three, I’m boring and lead a boring life. At the same time, I sometimes decide to share because I endure something in isolation, hunting information, coping and struggling. I suspect that I’m not alone.

So, Ima gonna talk about my feet and ankles. Yes, but this is actually about edema, sodium, and hypertension.

Hypertension has plagued me my entire life. Brief doctor checkups were required when I was a child in my early teens first trying out for an organized sport. The first time, the physician said two things: “You have high blood pressure, and your ears need cleaned.”

When I was in the military, physicians would regularly order me to go through a week of coming into the clinic, hospital, or infirmary daily to check my blood pressure every day. I never paid much attention to it. It was always kind of high and never changed.

I should have been paying attention. That’s on me and my overconfidence and ignorance.

My hypertension finally caught up with me and began manifesting as edema several years ago. I have Mom’s very slender ankles, ankles which my wife always envied. Now they’re puffy. Swollen. Discolored. Stiff.

My healthcare team isn’t quite sure what causes my edema, whether it’s actually my lymph nodes, or venous insufficiency. I don’t want to oversimplify; multiple factors influence it. I always figure venous insufficiency played a large part, but I’ve also discovered that my body doesn’t deal well with sodium. Sodium is used in cooking, baking, and food processing as flavoring and a binding agent and preservative. My body decided it can’t stand sodium. When my blood results come back, high sodium levels always stand out as critically high.

This all came to a huge issue for me when I sprained my right ankle, first in May, then again in June. Both times, I was just moving when — snap – crack — my right ankle gave out and I went down in a blaze of pain.

The second time this happened, I couldn’t believe how much my foot and ankle swelled. Suckers ballooned into huge sizes. Shoes would not fit, limiting my footwear and activities.

I’ve been on amlodipine for several years to help with my blood pressure. I’d quit taking it for reasons I couldn’t even quite define for myself. I don’t know what I was thinking, for real. I resumed the med in early June. But when I went in for my annual check with my PCP in late June, my BP was 169/89. That concerned her.

It concerned me as well. She urged me to track my BP for two weeks and report the results back to her. Take your blood pressure morning and evening every day, she said. If it stayed high, we would need to address my meds. I agreed.

The first week’s results were horrendous. My right foot and ankle were also regularly swollen during that period. So was my left ankle. All of this was depressing. After the first week, I stopped tracking my blood pressure for a day because I was so upset. I had to make changes.

I’d been watching my sodium levels since the edema began manifesting. Now I carried it to hyper-vigilant levels. High levels of sodium are in so many foods. Condiments like mayo and mustard were gone, along with any salad dressings, pickles, olives, etc. I mean, I’d already cut them substantially back but now they were completely verboten. I’d treat myself to bacon once in a while before; no more. The butter we use has sodium; it was cut off. Bread was cut out. Rolls. Cheese. Salsa. Guacamole. Many favorite foods were simply eliminated from my diet. Raw fruits and veggies, which I’d always eaten in regular quantities, were eaten more frequently. I also increased my water intake. I cut down on my coffee consumption, and whenever I go to the coffee shop, I order a glass of water with my coffee. Desserts and treats are off the table.

The results paid off. My two-week average when I turned in my records to my PCP was 134/79. I had several second week readings in the 120/70 range. I had one reading of 117/72, and another of 106/69. My right foot’s swelling subsided. My ankles’ swelling declined. Besides that, I lost six pounds and an inch off my waist. I became more limber and flexible and slept better.

What I sort of realized/hypothesized was that the edema and swelling which I saw in my feet and ankles were happening internally as well. As things reacted to more fluids and less sodium, that unseen swelling also diminished.

Anyway, that’s my story. If you’re out there dealing with hypertension, high blood pressure, and struggling with edema and sodium, you’re not alone. I feel for you. I hope you can make changes and that those changes result in improvements.

They did for at least for me. It’s not over, though. I remain on that strict, almost completely sodium-free diet. Sometimes, we need to face it, this is how it must be.

And that’s how it is.

Cheers

4

Tuesday’s Theme Music

Mood: Coffeebunctious

Good morning, good day, good afternoon, and good evening. Today is Tuesday, July 16, 2024. It’s now 81 F in Ashland, cloudy, a bit humid, stiff and dull with heat. Our high will be 99 F. Clouds like pleasure craft in the sea have come to the harbor of our sky.

We were coming back from running errands yesterday when the sky darkened. A large, swollen cloud mass blocked the sun, bringing up a wind. Rain veils hovered over the southern mountains’ trees. Could we get rain? my wife and I wondered.

Back home, we questioned Alexa. She assured us that rain wasn’t happening.

Then thunder steamrolled our street. Huh. A few minutes later came a lightning streak. More thunder. The power flickered and danced. Then soft rain pelted the hot ground, summoning petrichor from its depths. The temperature flew from the mid 90s to 86 F. Doors and windows were opened as the thin, light rain drizzled over us like light frosting and left. Thunder continued for another thirty minutes but that was the only band member there as lightning and precipitation hustled on. The temperature recovered to hit 90 but the evening cooled fast. The night was pleasantly chill, and a deep slumber was enjoyed.

One of the things that come with lightning in the west is worry about it striking the ground and igniting fires. Yes, that happened, quite a bit. Many were immediately found and outed. A few are still out there, watched and prioritized to be addressed by the proper government agencies.

The Neurons are feeding One Republic with “Counting Stars” from 2013 into the morning mental music stream (Trademark steamed). It was the line, “Lately, I’ve been, I’ve been losing sleep, dreaming about the things we could be,” which hooked The Neurons. I don’t blame them; I like the line as well. Then I sort of hooked onto later line myself: “Everything that kills me makes me feel alive.” As a person living with hypertension and medicating for it and dealing with edema, I make strenuous efforts to avoid sodium. My bod and sodium don’t get along and the less little bit each day triggers swelling and exasperation. Ah, life gives us each a unique burden to carry, unless you’re some kind of strangely fortunate one like TFG. It’s a uplifting song for me, nice beat, with some stirring lyrics aptly delivered.

Be strong, remain positive, and Vote Blue in 2024. Coffee and I have been sharing a pleasant morning. Hope you’ve been doing the same. Here’s the music video. Off we go. Cheers

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Tuesday’s Theme Music

Mood: lightly festive

With Tuesday, November 21, 2023, here in Ashlandia, where the restaurants are good and the service is above average, we have another weather shift. 58 F, the sun is shining like summer now as late morning rotates through. We’re expecting highs in the low to mid-sixties today. Only problem is the air stagnation advisory. It ends this evening today but we’ve honestly been little affected by it in our valley this time, knock wood.

Les Neurons are messing with me again. Experiencing sound sleep and multiple dreams last night, I was remembering the latter this morning while putzing through the breakfast routine of feeding the cats and making my breakfast when The Neurons delivered a song to the morning mental music stream (Trademark dated).

I’m detouring here to mention that feeding the cats breakfast includes giving Tucker his hip and joint supplement. He’s an elderly cat now, with a few teeth gone after dealing with gingivostomatitis most of his life. When he first arrived on our porch, hungry, matted, and crying, he had serious mouth infections. We had those treated and some teeth removed and have since kept him on a grain-free diet, which works well in keeping the gingivostomatitis at bay.

But now, being older, he’s stiff with arthritis. His supplement helps, lubricating his movement, stimulating his appetite, and increasing his energy levels, but he doesn’t have the teeth to chew it right, so he often tries and then leaves the wet chew on the floor. So, to give it to him, I crumble the chew into boiling water and mix it with his morning and evening wet food, and he’s lapped it down.

Now, I don’t know if you know cats, but many of them want whatever the other is having. I’ve caught Papi, who is much younger, sniffing Tucker’s treated food with interest. He’s decided he wants a little hot water mixed in with his wet food, too. His thinking, I think, is, another cat is getting it, and if it’s good enough for another cat, he deserves to get it as well. Second, hot water helps keep him hydrated, and enhances the food’s smell and flavor, right? I suppose, because he licks his bowl clean.

Anyway, as I’m doing these things this AM, The Neurons begin playing “Young Folks” by Peter Bjorn and John with Victoria Bergsman from 2006 in the morning mental music stream. I’m not privy to why The Neurons brought that song up. They often don’t share with me, treating my requests with disdain. Maybe they just remembered the whistling or the voices or the song’s message and lyrics, and thought this a good day to hear it again. Honestly, I don’t know, but it’s earned its place as today’s theme music.

Stay positive, be strong, and lean forward with growing optimism that we’ll get over the Trump threat and everything he does to encourage others to come forward as hateful, hypocritical, racist, sexist, homophobic, warmongering, privilege-seeking neanderthals. My coffee is going down smooth and tasty. Think I’ll have some more.

Here’s the music. Cheers

0

Saturday’s Wandering Thought

We were talking about classes we wished we’d had when we were young. Like, explanations about how much your body might change as you age. We knew that would happen, of course. Saw it in mother and father, aunts and uncles, etc. But how do you impress how much of it’s within and outside of your control, and how there is an accumulative impact? Despite exercise and health, some of these things take you by surprise and take you down, mentally, physically, emotionally.

Maybe such information is now being taught. Of course, with the net and technology, more of it is available.

0

Saturday’s Wandering Thought

When I’m happy, I want to have something enjoyable to eat. Steak and pie often speak to me at that point, although I rarely eat steak, rarely eat meat, as my wife is a vegetarian. Likewise, when I’m frustrated, or depressed, I want something enjoyable to eat. Steak — or a burger — come to mind, along with pie, or ice cream. It’s only when I’m in a good mood but not overly happy, but very focused, when I’m not prey to different eating urges. And that’s a bare sliver of a window.

It interests me how my urges to eat are similar when I’m happy or sad, an intriguing additional insight into my personal spectrum of being.

0

Sacrifice

She brought me a small white plate.

Two dark pieces nestle on it. I stare at them, then shift the stare to her.

I had been smelling them since I came into the house after my coffee house writing session. Chocolate.

K is on a diet. Today is day 30. She is allowed to add one thing today. She added vegan honey to her breakfast amaranth. Now she waits three days to see if there’s a reaction. If a reaction — pain, a flare, stiffness — is experienced, that item is banned from her diet. Forever. Then she resets for a few days and adds another item. If no reaction is felt, she adds another item and waits three days. So it goes.

This means that she can’t eat what’s on the plate.

She’s hosting book club next month. The moderator opted for something lighter for March. Lessons in Chemistry. Bonnie Garmus. Kay is making vegan brownies studded with chocolate chips. These are vegan chips from Trader Joe’s. Vegan butter was used. This is a test batch. A Ghirardelli mix was used.

“Taste these,” she tells me. “Tell me what you think.”

She can’t have them. Diet. Two of the Ashlandians in the book club are vegan.

I force myself to eat a chewy, gooey vegan brownie.

“Wonderful chocolate taste. Not too sweet. Greasy,” I announce. That makes sense to her. There was something about the vegan butter melting and then measuring it again. She didn’t do that. “And they’re not done enough.”

“Five more minutes?”

“Maybe just three.”

She nods. She’ll make another test batch this week.

They go great with black coffee on a winting Ashlandia afternoon. An entire tray waits for me in the kitchen.

I’ll need to pace myself or it might be death by chocolate.

0

Saturday’s Theme Music

Saturday’s broken, like the first mornin’. We’re up to Feb. 11, 2023. Plenty of time for this year yet.

Sunshine cracked the day at 7:13 AM, fulfilling dawn’s potential in big way. Blue sky with striations of clouds like towels waiting for the laundry hover around Ashlandia. Sitting at 42 F., the cats are pleased with the sunshine, dry conditions, and temperatures. My spies tell me the weather prophets think we’ll see 52 F before sunshine is put behind Ashlandia’s horizon at 5:38 PM. Tomorrow, the spies whisper, it’ll be in the sixties before another front rolls in and drops us back into the land of rain and snow.

My wife continues her diet. She’s at 21 days and is enjoying its effects. Her RA pain and flares have subsided. Worst part is low energy in her opinion. I note that she’s not as mentally sharp. It’s not mentioned to her because it would depress her. She’s on a huge reading streak, going through two to four books a week, all fiction. She read Four Treasures of the Sky for her book club this week, along with Blake Crouch’s Dark Matter and Becky Chambers’s A Psalm for the Wild-built. She passed the last two on to me, recommending I read them. Dark Matter is on the pile behind Ancillary Sword. A Psalm was read and enjoyed. Fascinating and different concept and interesting story-telling style.

The Neurons have Three Dog Night singing “One” from 1969. I enjoy its drive and harmony. Harry Nilsson’s original version, meanwhile, is harmonically interesting, with a slower tempo, a more thoughtful but sadder experience. The Neurons went with the Dog but I included Nilsson’s version for comparison.

Coffee’s been drunk, breakfast consumed. Time to go write and roll. Stay pos. and have a solid Saturday.

2

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