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

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

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

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.

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.

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.

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.

Moonday’s Theme Music

I was out walking yesterday afternoon, slow-baking in the sun. My informants told me that the temperature was 51 F. Telling self, “This is nice,” I thought I’d extend the wall. With a magician’s swiftness, clouds blocked the sun. “Damn, it’s cold,” self said. A icy wind knifed through me. Drizzle followed. Three minutes after enjoying a fine, sunny walk, I was heading home out of the drizzle.

This is Monday, Feb. 6 of 2023. It’s a boom sort of day. Initiated early dark hours after rain began shortly after the witching hour, curtailing an hour later. Then – boom – clouds split, and here comes the moon, reflecting powerful white light from the sun. Sweet. Following up at this AM, 7:19, boom, sun kicked shine over the horizons into Ashlandia. While it’s sunny now, 37 F, weather spies tell me it’ll rain later, with a high of 56 F before the Earth turn takes Ashlandia’s sun away.

Yesterday was a good day for moi on many fronts. Wordle in two. As Wordlebot said, that was really lucky. Excellent writing and editing time, knock on wood, an enjoyable walk, followed by a pleasant dinner of fish with roasted red potatoes and broccoli. Dessert was flax chocolate cookies while we watched episode of The Last of Us.

My wife had none of that dinner or dessert. She continues her anti-chronic pain diet. No sugar, no salt, no processed foods. She’s on the section where in addition to certain raw veggies, quinoa, and sweet potatoes, she’s allowed kale, coconut water, buckwheat, and green smoothies. How much longer she’ll continue this is unknown, but she likes how of her RA pains and flares have gone into remission. I make my own meals while she makes her, and I’m careful not to bring in anything that might tempt her. She has strong willpower and discipline. It’s been over a month and she doesn’t show signs of flagging.

The Neurons are singing a song featured as my theme music before, “Cheap Sunglasses” by ZZ Top from 1979. Not sure what enticed The Neurons to begin playing it, but I always enjoy it. Love how the vocalist, Billy Gibbons, enumerates this woman’s features, concluding, “What really knocked me out were her cheap sunglasses.” Oh, yeah.

Stay pos and enjoy the moonday. I’ve had some coffee but I’m up for more. Here’s the music. ZZ Top was always a fun concert. Cheers

Thursday’s Wandering Thought

His diet amounted to the foods he chose for his health, things his body craved, and then the comfort foods for when his body says, “Hey, it was bad day. How ‘bout some carbs?”

The CBD Experiment

My wife suffers from autoimmune issues that end up expressing as RA. Inflammation, swelling, and pain flare up without warning. Hips, back, jaw, fingers, hands, feet, back. Nothing is immune from autoimmune problems.

It’s not a new issue for her, starting back in 1998. It wearies her, of course, and frustrates me. All I can do is support her, and that just doesn’t feel and sound like much.

She’s gone through meds but as anyone who is prescribed meds knows, everything has a side-effect. Many meds cause their own problems, burning through other organs, upsetting digestive systems, etc. In her mid-sixties, she’s been a vegetarian or vegan for over forty years, for many reasons. As her RA progressed, she eliminated more and more foods. She keeps a food journal. Fats were strenuously reduced. Salmon was embraced. We’ve always eaten steamed vegetables, particularly broccoli and brusse sprouts, and roasted asparagus, so we just stayed the course with those. Black beans form a large component of our meals. Alcohol was gone, but she was never much of a drinker. Dairy, especially cheese, which she loves, was eliminated. Tomatoes (another favorite) followed. Sugar. Then she kicked the meds because the side effects were too deleterious. She’s always been a staunch supporter of work outs and exercising and has been a jazzercise enthusiast and weightlifter for over forty years. She puts a lot into both and has been asked by the jazzercise instructor to fill in and lead classes.

That’s the thumbnail sketch. With her diet restrictions, off the meds, she’s been doing well, and even improving. Know how it is, though, right? Something flares up, causing pain and problems.

That brings us to CBDs.

Friends of mine are CBD advocates. They and their wives use CBD and other cannabidiols such as CBA and CBG to cope with their health issues, particularly inflammation and arthritis, sometimes in conjunction with THC, sometimes with mushrooms, but usually with wine or beer. All are pleased with the results. A few raved about CBD with THC to sleep at night. Edibles such as gummies, easily obtained and ingested, garnered particular praise.

So I collected info from friends regarding brands, habits, dosages, and side-effects, and brought that to my wife. She did further research. Purchases were made. She took her first, Wyld Blackberry 25 mg CBD gummies. “How was it?” I asked the next day.

“I couldn’t sleep,” she replied. “And I didn’t feel anything for the pain, swelling, or inflammation.” She showed me her crooked finger, with its red, swollen joint.

I have minor inflammation, mostly afflicting my intestines. While I address restoring my biome’s balance through diet and probiotics, I thought I’d give the CBD a try.

“How was it?” my wife asked the next day.

“Great. Felt almost an immediate relief. I was really impressed.”

A low growl came from my wife’s direction. I may have imagined that. She tried the CBD again that day and experienced the same results.

Research was pursued. She determined, she believes, that she’s one of those people who suffer increased anxiety from CBD, and no relief.

For the heck of it, we tried other gummy variations, and also gave CBG a try. Same results for her. Which just sucks, you know? Meanwhile, I thrived on it.

But that’s how our bodies are, individualistic and unequal, following paths and micro-paths which we don’t fully understand, sometimes forged by genetics, but also by small biological quirks. That’s part of the life experience, understanding what your body is doing, trying to understand why, struggling to address your own unique needs and issues. The wildest aspect is that the body is always changing, and the hunt for understanding doesn’t end until we cease to breathe.

And that is life.

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