Tag: edema

Wenzdaz Wandering Thoughts

Let me tell you about the pants.

First, I’ll tell you about my typical summer wardrobe.

But first, a side path.

The side path is that I suffer from edema. Maybe it’s the lymphatic flavor. Medicos are out about the source and cause. Addressing it means I wear knee-high support hose. They work, help, however you want to put it. However, I’m a vain guy and don’t want to be seen wearing them outdoors.

My standard summer clothing choice since I was a small child are short pants, or shorts. I’m not going out in them while wearing my support house. I’ve seen folks out there in that combo. I admire their courage. Did I mention that I’m vain?

All this means I had a new challenge: what to wear when the sunshine and air conspire to push temperatures into the 80s, 90s, and 100s, as happens here in Ashlandia in the months between May and October. Jeans do not work for me. They feel hot, sweaty, and constricting.

My wife said, “You should wear joggers.”

Suspicions roused themselves. What was that? Joggers? I know what they are. I’ve seen young people in them. And women wear them. I’m not a young person or a woman. However…

I began sniffing around joggers. Looking for garments which will meet my needs. There are men’s joggers out there, but they often lack pockets. I like having pockets, especially those of the pouch type on my front thigh, where I can safely and comfortably deposit my wallet.

My search culminated at Costco. There, as if in answer to my hopes, were Wrangler Men’s Tech Pants. Made of synthetics, they met all my other needs, and were priced to move at $22. I put them into the cart and tried them on at home.

They fit. They’re comfortable. And they look good without attracting attention. I am not fond of attraction.

After wearing the black ones for a few days, I purchased them in grey and khaki. My vanity is appeased, and my wife is pleased with my appearance. All in all, a small win-win for me.

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Twosda’s Wandering Thoughts

I’m in shock.

I tell my wife, “I’m wearing over eight hundred dollars worth of clothes.”

She looks me over. “Gold-plated underwear?”

“That wouldn’t be comfortable nor practical.” I reconsider the gold-plated undies for a few more seconds. “How would that work?”

“Why are your clothes so pricy?”

“My socks,” I admit.

I’m wearing my compression stockings, as the medical ‘they’ likes to label them. I received a statement about them last night. Review, sign, return. Custom made in Germany to help me cope with lymphedema, the statement reveals that each stocking costs $366.

I explain this to my wife. “Good thing that they’re paid for by Medicare and Tricare for Life. I would have never bought these on my own.”

“No. You’re not comfortable with a pair of shoes that costs over a hundred dollars,” my wife says.

This is true. Fashion doesn’t interest me. I like to be practical. Today’s shoes cost me about sixty. They’re several years old. My jeans are a pre-COVID purchase. Forty dollars. My shirt was bought at an outlet store for $25, I think, over ten years ago. My Columbia fleece is even older. I think I bought it for $40 on sale. Other than the stockings, my undies are the newest things on my person.

Four more stockings are on the way. $366 each. I think about getting a safe to keep them safe.

I begin typing on my computer. Goldplate underwear for men is available at Kohl’s, a search result says. I click on the link. It comes up with gold-plated stainless-steel chains.

Just as well. I don’t think I’m up for gold-plated underwear.

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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

Medical Update

I made it to my first lymphedema massage therapy session yesterday. I began experiencing edema in about 2020, around 63 years old. I walked about eleven miles a day back then. Went all over town carried by my feet and legs. As various injuries slowed my exercise routines, bilateral edema developed in my legs. This became a real nuisance when I had ankle surgery to address a ruptured tendone. Swelling caused by edema kept me from healing correctly. Yeah, that sucked. My orthorpedic surgeon recommend that I pursue lymphedema massage therapy. When I expressed interest, he set it up.

My first appointment was supposed to be Munda. I cancelled because of snow, and the therapist cancelled Wednesday due to snow. A young woman named Anastasia is my therapist. When I made it in yesterday, we laughed over the week’s crazy snow weather and agreed, Ashlandia was hit much harder than her town, Medford. Makes sense, as Ashland is at a higher elevation.

Not my foot.

Ana wrapped my legs as part of the process called lymphedema compression bandages. Used to help manage lymphedema by a sequence of pressure from high to low to help the lymph vessels move their fluid, the bandages end up being very thick. My toes were individually wrapped, then foot, ankle, calf, up to my knee on both sides. Sort of looks like a mummy. After that, dark blue open-toed sandals with velcro straps were provided. They were needed because my wrapped feet were too large for my shoes.

When my wife saw me in my new gear, she doubled over in laughter.

She laughed again today when she saw me. She couldn’t believe that after my appointment yesterday, I went grocery shopping. Her exact exclamation was, “I can’t believe you went into a store looking like that. You’re braver than me.”

I replied, “Nobody noticed.”

Her eyes widened. “Oh, honey, they noticed.”

Whatever her and others’ opinions of appearances, I’m astonished by how my legs feel within these bandages. There is absolutely no pain. No limitations on movement and flexing that’s generated by swelling. No stiffness. Before that, I had a regular evening struggle. Once my compression socks were removed for the day, swelling into my feet. This really affected my ability to bend and flex my ankles and toes. Exercising them came with a double shot of anguish. With these bandages, there is none of that.

Besides the shoes, the other drawback is the bathing limitation. The bandages can’t get wet. That means washing my hair in the sink and giving myself a sponge bath.

It’s a tiny sacrifice to have my legs, ankles, and feet feeling and doing so much better.

5

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.

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Friday’s Wandering Health Thoughts

Went to see my PCP earlier this year. 68 yo, I was dealing with my prostate (on meds for it), edema, hypertension, and mild IBS. Those had been ongoing since I was 65 or so. IBS is gone now, hypertension is responding well to meds and diet. The prostate is the prostate, enlarged but benign.

The appointment was an annual. My PCP is monitoring these things. She ordered blood panels in conjunction with the visit. Give us something to talk about. Well, as a retired military over the age of 68, my healthcare coverage is all gov: Medicare A & B, which I pay for, and Tricare-for-Life. Medicare happily paid their part of the lab work.

Not TFL. They balked. Yes, denied it. Didn’t see the need for it.

Second time I’ve gone through this with TFL. Honestly, they’re as bad as United Healthcare. What’s their motto again? Oh yeah, “Delay, deny, depose.” Guess it’s really the motto for that entire industry. I don’t expect it to get any better under PINO Trump.

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Sunday’s Theme Music

Mood: Suntimistic

Sun is shining. Gives promise to this Sunday, November 24, 2024. Wind is calmish, erratically kicking up like a new foal. A few clouds mill, strutting grays and whites. With a 44 degree F temperture and a high of 48 F, you’re not going to mistake this for anything but late autumn in Oregon.

Pleased with that sunshine after murky days of rain and mist. Such a wonderful and natural way to lift spirits. I went out into the chilly morning air and raised my face to the sun, sucking it up.

I think we’re going to chart how often we let Papi the ginger blade in and out of the house. Sometimes he comes in the front door and runs right to the back door, like he’s using the house as a shortcut. It feels like twenty times a day to me. That’s almost one time an hour, 24 hours. I need to chart it.

Saw a headline that caused difficulty keeping my breakfast down. “Most Americans Approve Of Trump Transition—As Controversial RFK Jr. Gets High Marks, Poll Finds “Most Americans”. Yeah, and most Americans think that tariffs and mass deportations will lower inflation. Shouldn’t be surprised that ‘most Americans approve’. Actually, I don’t think I’m surprised but disappointed.

“The majority of respondents approve of both Trump’s plans for mass deportations (57%) and his plan to impose broad tariffs on U.S. imports (52%), the poll found. Most Trump voters also don’t believe the tariffs will make prices higher—contradicting predictions from most experts—and the third that do think tariffs will lead to higher prices support them anyway.“

And while 59% approve of Trump’s transition plans, of the five nominees listed, RFK had the most positive rating, 47%.

So there we go. We must find a way to Make Americans Think Harder. Maybe bitter experience will open their eyes and impact their thinking. From what I’ve seen, it won’t. After all, look at how much of history, basic government and civics, and economics they keep forgetting.

Final note: I wonder if they included a question in that poll about Trump not yet signing the necessary transition documents? Hmm? Would that change the favorable poll results? Do they know that he won’t sign those MOUs and the ethics document?

To be fair, research has emerged that COVID-19 affects the brain, including a negative impact on IQ. Maybe that explains why Americans don’t seem to think much these days.

My foot continues healing. Edema causes issues. More exercise is needed to combat the edema. But the healing ankle surgery compromises the ability to exercise. Classic Catch 22.

Today’s song is sun focused. The Neurons saw that and started throwing sun and sunshine themed songs into the morning mental music stream (Trademark limping). Eventually, the mingling lyrics and rhythms cleared. Bob Marley and the Wailers arose with “Sun is Shining”. I like the song’s relaxed, easy style.

Gotta say, the green chili stew we made yesterday was a perfect antidote to the chilly wet day yesterday. Added roasted chicken to mine. Yeah, frozen and pre-cooked, low sodium. Yes, I’m a cheater. It’s available for lunch today. Really spicy; my wife said it was too spicy for her. We topped it with avocado and garnishd it with cilantro.

Coffee has been introduced to my internal environment. Gonna go make green smoothies. Think they’ll have a tropical taste. Mango and pineapple. Have the best Sunday you can. Here’s the music. Cheers

3

Friday’s Theme Music

Mood: Stormrelief

Friday morning, November 22, 2024, and my first thought comes: it’s quiet.

Different around 11:30 last night. Sounded like B-52 formations taking off on full throttle out of Guam over our house as relentless wind bore down on us. Rain shattered the night with a Buddy Rich drum solo for a while afterward. Flash memories of being with Dad when tornadoes were roaring around us came up. Then came recall of being in typhoons with my wife in Japan.

Morning recon showed only the water barrell out of place. Glances up and down the street were given; trees and utility poles are intact and upright. Telephone and utility lines looped as expected. Cars remain parked, and roofs still grace houses. Looks like disaster was dodged. I hope other places are faring well but suspect tales of power outages, injuries, and death will come. Typically do when a bomb cyclone drops.

With the storm came warm temps. 49 F now, gray clouds and blue sky approach and retreat. Sunshine gives an uneven performance. We expect a 52 F high today.

This weather experience cajoled The Neurons into thinking of weather songs. “Oh, stormy, bring back the sunny days.” And, “It’s flooding down in Texas. All of the telephone lines are down.” And, “Here I am. Rock me like a hurricane.” Or, “Dust in the wind. All we are is dust in the wind.”

The Neurons eschew all that. The Pixies instead enter the morning mental music stream (Trademark buffeted) with “Stormy Weather”.

Having decided that my foot and ankle swelling was due in major part to my edema issues, I went on a green smoothie fast yesterday. Sodium intolerance and veinous insufficiency seem to be the bad actors behind my edema so I wanted to knock the sodium down a bit. I’m also wearing open-toe compression socks on both legs. Overall, the one-day treatment seems helpful. I was swollen by the day’s end but it didn’t seem like it was as bad as previous days. Slept with my legs up. The swelling dissipated, as it always does. It’s fluid moving from one place to another for me. Back on my normal diet today, although I’ll eat less and minimize my sodium intake. Sodium is everywhere, though, and difficult to escape.

As far as the actual surgery location and affected tendons, they seem to be doing well. Tenderness and sensitivity around the suture site is reduced. I hope to put a shoe on within a few more days.

Hope all of you out there are doing well. Coffee is being swallowed, working its magic through my cells. Here is the music. Cheers

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