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Daemon

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« December 2005 | Main | February 2006 »

January 26, 2006

In the Zone

I'm in the Zone.

No, not "The Zone," a la Dr. Barry Sears . . . I'm on prednisone. I'm zonin'. Seems I have a ruptured lumbar disc. Another one. Two years ago, I had L3/L4 repaired. Now, L2/L3 has ruptured, on the right side.

Fortunately, this one is a lot less severe than the one in '04. I have no leg weakness. My patellar reflex is intact. I have some sciatic pain, but it's not that bad. Mostly, I just have a stiff back -- standing anywhere close to upright takes time and stretching -- and back pain.

So, I have some time to try conservative treatments. I started a taper dose of prednisone this morning. 12 days. We'll see how I feel after that. I have been improving daily, and I feel pretty good today, for the most part. It's probably too early for the 'zone to be having an effect, but I'm still feeling mighty cheerful, under the circumstances.

Now, prednisone can play havoc with your weight . . . usually, it makes you gain. I did 'zone two years ago. It didn't do anything for my back pain or weakness, but I lost about 3 lbs while I was on it. Here's what worked for me (bear in mind this is for short-term predisone only . . . if you're taking it long-term, I doubt this will be all that helpful):

  • Prednisone increases appetite. What I did, and what I'll do again, is be super-vigilant about how much I'm eating. I'll pay attention to eating volume, for not much in the way of calories.

  • Prednisone also causes fluid retention. Sure, this is temporary, but if you're trying to lose weight (or would prefer not to "find" any), it can be disheartening to see a scale increase. What I'll be doing -- again -- is eating very low sodium. I'll prepare fresh foods, and stay away from processed stuff.

I am pretty optimistic about this. If the 'zone doesn't work, we might try a cortisone injection (another 'zone, I guess). That has worked for me in the past (shoulder). And who knows . . . the rupture may heal itself. This apparently happens, most of the time.

If things keep getting better, I'll be climbing on my bike trainer by the end of the week. I've been doing some light stretches, and some light ab work, enough to keep me balanced and strong.

I have also resigned myself to the fact that there'll be no duathlon for me this year. Maybe never. But, one step at a time. It does seem that every time I even THINK about doing a duathlon, I rupture a disc. Maybe I should just leave well enough alone. Third time would mean that I'm snakebit. No, thanks. I think I'll stick with my bike, for now. Which, by the way, I'm going to clean off this weekend. It still is dirty from my last ride -- in December -- in the rain. You never know. Maybe I'll feel like a short spin.

Herniated Discs can Fix Themselves

Treatment Options for Lumbar Herniated Disc

* * * * *

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January 19, 2006

And the Fun Continues . . .

Rack another one up for the MRI queen. I’m going to get yet another test on Monday. Seems I re-hurt my back just when things were getting back to normal. My doc says we have to figure out why this is happening. Is it a complication from my surgery 2 years ago? Irritated nerve endings? Another bulging disc? Inflammation around the scar? Dumb luck?? Stay tuned.

Just when you have adjusted to a “new normal,” life throws another curve ball. Sigh. Right now, I’m hurting worse than I did when I strained my back just before New Year’s. I’m actually at home, because I can’t get around well enough to go to work.

And, truthfully, I’ve probably been pushing things a bit. I’m a charge-ahead, get-it-done, damn-the-torpedoes type of gal. I don’t have time to be sick, so as soon as I get the least bit better, I forge ahead, full speed. I have so much on my plate at work that last week I worked late, very late, 3 nights. I had to take Friday off to supervise some final touches on our newly-renovated 2nd house . . . and by the time Friday rolled around, I’d already logged more than 40 hours at work.

I was working late this past Monday, when around 9 pm or so, I noticed that my back was hurting in an odd way. One muscle just kept hurting, badly, like it was being stabbed. I took note of it, of course, but kept going. The next day, Tuesday, I could walk OK, but changing from sitting to standing, and vice versa, took a bit of painful doing.

Yesterday? I hurt badly in the morning, and by afternoon, I could no longer stand up straight.

I’m beginning to think that I may be pushing a little hard. Maybe my body is telling me that I need to slow down a little.

How can I have enormous patience with weight loss, but none at all when it comes to illness or injury? Because truly, I have no patience at all when it comes to physical restrictions. If I am told to rest, I do, grudgingly. More often than not, I will get moving as soon as I can. I did try to use common sense this go-round . . . I did some gentle stretching, some ab exercises that didn’t hurt, some gentle spins on my training bike. As my hurt diminished, I started moving around more. I figured if it didn’t hurt, I was doing the right thing.

And who knows; maybe I was. Maybe I really do have something going on back there that needs to be tended to, that‘s not necessarily the fault of anything I‘ve done or not done lately. Guess I’ll find out. Whatever it is, it will get resolved. I am nothing if not stubborn, and I will do whatever it takes to get back to a relatively flexible, pain-free state.

And yeah, I know. That’ll take time.

I may lose a little fitness on the way. I’ll just have to suck it up and accept that. I have been through this before, 2 years ago. I couldn’t do any real cardio for nearly 2 months, and it was 6 months before I could go back to weight training. If that’s the case again, well . . . been there, done that, hopefully learned a thing or two that will make this time a little easier.

What’s really ironic is, my weight is dropping some. I know that when I can’t exercise, I have to eat less, and that’s what I’ve been doing. In 2004, while I was injured but before my surgery, I dropped 5 lbs. That loss enabled me to finally reach my WW goal. Isn’t that a hoot?

Maybe this time, I’ll get into the 120s. I’m not pushing it, I’m just eating well and being careful not to overeat: about 1700 - 1900 calories a day.

Maybe this resting thing isn’t so bad. At least I can watch TV without guilt!

Pass me the remote, will ya?

* * * * *

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January 07, 2006

4th Anniversary

Today is the 4th anniversary of my joining Weight Watchers. Anniversaries oftentimes bring reflection. In this post, I present you with a few random thoughts about my journey, so far.

* * * * *

This 4-year period is probably the longest I've ever dedicated myself to losing weight, and keeping it off. There was one other time that I lost weight, and kept it off for, what? a year or two? I don't remember, unfortunately. I hit my goal around my 30th birthday, or shortly before, and kept it off a couple of years. I did it all on my own. I didn't eat particularly healthy; I can remember lunches of Chicken McNuggets, as well as Baskin-Robbins milkshake snacks. But I did at least make some effort to eat more vegetables and less crap.

The weight loss didn't last, though. As soon as I turned my attention to night school and obtaining my CPA certification, my focus on good eating and exercise went waaay south. This experience taught me that life will always get in the way, and to be successful, you have to focus, and keep changing your approach as circumstances change.

* * * * *

Maintenance has been pretty easy for me. Sometimes I wonder if it's been too easy. Have I really changed, for good? Can I keep this focus through the very worst that could happen to me?

When I joined WW in 2002, I had a stressful first year.  My husband broke his ankle in 2 places, and I had to take care of him while he healed. My Mom went into a decline, and I had to care for her for 10 months, until her death at Christmastime. She was not in my home -- she was in a semi-assisted facility -- but anyone who has cared for an aging loved one knows that the stress level for the caretaker is still pretty high, under any circumstances. Sometimes the person's decline is so precipitous, that you have trouble keeping up, and end up scrambling to keep an appropriate care level.

I had to get Mom's meds, hire a woman to administer them, lock away her drugs so she wouldn't take them randomly (Mom had increasing dementia toward the end); take her to the ER whenever she had a health crisis; take her to regular doctor appointments. I had to find a nursing home that would take her on nearly-instant notice when, toward the end, she became agitated, walked away from her apartment, got lost, and ended up in the hospital with (thankfully) only a minor injury from falling down. I had to deal with some family squabbles over Mom's care (something that is still painful for me to think about).

Sometimes, looking back, it amazes me that I managed to lose 50+ pounds that year. I think my attitude was, "I can't control the things going on around me, but by God, I can control what I put in my mouth." I exercised when I can; I tried to take "me" time whenever I could. I think bicycling kept me sane. Really.

So, have I been through the worst? Can I do it again if something else happens? If I lost my husband, I'm not sure what I would do. Maybe I'd just stop eating. Maybe I'd lose motivation, and just start eating everything in sight. I just don't know. I hope I never have to test this anytime in the next, oh, 35+ years.

* * * * *

The turn of the year brings many new members to Weight Watchers. There were a few new faces in this morning's meeting. One was a husband-and-wife team. They seemed attentive, active, and interested. I think they probably will do well. This particular meeting has several husband/wife duos. Some are already at goal, others are getting there.

There was one woman, though, who slipped into the meeting after it had started. (This wasn't her fault; it takes time to check everyone through.) She sat directly in front of me. She said nothing during the meeting. She hardly moved. And, so, I began to wonder about her . . .

Our meeting is very raucous enthusiastic. Most folks participate. This is partly because Jim is such an effective leader (he's a marketing type; they're good at this sort of thing). There is one point, at the end of the meeting, after he's asked if anyone's made Lifetime, where he first asks for a show of hands of any Lifetimers in the audience. He then says, "And is there anyone out there who is GOING to make lifetime?" Of course, every hand in the room goes up . . . at least most of the time.

This woman didn't raise her hand. When she left, I saw her expression as she walked by me. She looked very downcast, perhaps a little depressed. I didn't see any hope. Any joy. If she had any positive thoughts, they sure didn't show on her face. She looked straight ahead; didn't engage anybody.

So. Is she going to make it, or not? I don't know. Hell, maybe I looked the same way when I joined. I can't remember. I do remember thinking the remainder of my life was going to consist of not being able to eat anything good. (I lost that notion in about 3 weeks.) Maybe she's thinking the same thing. Maybe she is wondering if she can do it this time. Maybe she's already given up. I just don't know.

If she's there next week, and arrives before the meeting starts, I'll try to say something to her. I'm not really good at this sort of thing, so wish me luck. I'm an introvert masquerading as an extrovert. But, I'll try anyway. Who knows?

Maybe we'll both learn something.

* * * * *

I worry about people who try too hard. You really can overdo the weight loss thing. For example: eating way too little. Vowing that you'll never eat pizza again. Dividing the food universe into good and bad (as if food were a moral issue) and kicking yourself every time you eat something bad.

My experience is that extreme measures do not work. They sure didn't work for me. I have numerous diet attempts buried in my past. I would NOT eat more than 1200 calories a day. I would NOT eat anything bad. I would be PERFECT.

Well, I'm sure you know how long that lasted. A day, two, three. I'd quit in disgust, as soon as I messed up.

What I have learned from this journey is that baby steps are better than sweeping changes, and that persistence, not perfection, gets the job done. It's hard to change your life overnight. It's better to change one, two, three things, get them under your belt, then change a few more things. I worked to regain my fitness long before I decided I really, really could lose the weight. I think this helped me considerably. When I joined WW, I already had been lifting weights for 2 years. I had been biking for 2.5 years. I didn't set out to do it this way; it just happened. But I think it was the right thing for me.

I always tell people: don't do anything to lose the weight that you're not perfectly willing to do the rest of your life. Focus on the process of changing your habits your way. Eat good, healthy foods, but have a little fun, too. Eat no more than you need. Exercise. The weight will take care of itself. Then, when you finally do reach goal, you'll already have tons of practice of eating the right way.

This is something, by the way, that you won't get from Jenny Craig or Nutrisystem. As much as they beg to differ, they are just "diets." There are those who are successful on these regimes, but they are the ones that learn, after the fact, how to eat properly . . . or who already know, but are using the prepackaged foods as a convenience.

If you're going to play Carnegie Hall, isn't it better to practice on a real piano, not on a little toy with only 25 keys?

* * * * *

One thing that can result from weight loss is the dreaded loose skin. Do I have any? Sure I do. It's not bad, though; I've seen pictures of far worse, on younger women who lost less than I did. It's easily concealable under clothing. I think it has marginally improved over the last year or two. My thinking, though, is that it's probably not going to get all the way better.

So, how do I feel about that?

I'm basically OK with it. Yeah, I'd like it to just go away; who wouldn't? The two worst areas are: under the upper arm ("bat wings") and the belly. I think I'm probably more sensitive to the arm thing, as I frequently wear sleeveless tops. I also figure that I notice it more than anyone else does. So, I keep doing biceps curls and other fun upper body exercises, and hope that it improves a little more over the next several years. I may have a "tummy tuck" at some point on my belly, more for comfort than for aesthetics. (OK, maybe my reasons are 50/50.) The arms, though, I'll leave alone.

Most of the time, when I think about my loose skin at all, the term "battle scar" comes to mind. I'm 53 years old; I'm not going to look like a 20 year old hottie. I already have a few scars here and there. You don't get to be my age without a few dings and scratches. And I actually think I look pretty good for my age. I'm not the best, but I'm far from the worst.

What I DO have is this: a strong, healthy body that will do nearly everything I ask it to. As you get older, function trumps form. The things you do today dictate how well you'll live tomorrow. I want to be on my bike when I'm 85, not in a wheelchair or a nursing home bed. Every day I live a healthy life, I'm creating a better future.

* * * * *

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January 03, 2006

Escape Artist

I'm beginning to wonder if I have really, really pissed someone off.

Last Thursday, while on vacation, I sprained my back. Plus, I have developed a doozy of a sinus infection.

Add those maladys to my twisted knee (it's mostly better, now, thanks), and you have a potential recipe for disaster. From a weight loss perspective, that is.

I can't do much of anything right now, except kinda hobble around. I'm at my best (vertically speaking) when doped up on Robaxin. I can stand pretty much upright then, and can walk around, albeit somewhat gingerly. I can't lift anything heavier than a book, though, unless I want to make things worse. And when the drug wears off, I look as if I've been clocked by a stiff tailwind.

Nor can I sleep very well, because of the sinus infection. (Antibiotics are on the way, though, hallelujah!)

Oh, well. Sometimes it rains like hell. When that happens, the best thing you can do is bail, bail, bail, and wait for the skies to clear.

The upside of all this, though (if there is such a thing), is that I apparently escaped both Christmas and vacation without gaining any weight. My weight was up slightly this morning over my pre-vacation weight (we got home late yesterday afternoon), but not enough to matter. (The Chinese dinner I had last night may have been a contributing factor, as well as all the fluids I guzzled overnight.)

Dear hubby is a Northwestern alum, so our vacation was spent going to the Sun Bowl, in El Paso. We then drove to Albuquerque and Santa Fe for a couple of extra days of R&R, plus a little New Mex-Mex cuisine. We had some wonderful meals, including lunches at Maria's New Mexican Kitchen (Santa Fe) and Los Cuates (Aubuquerque). We also ate dinner at La Casa Sena (Santa Fe) and State Line Barbeque (El Paso). Some mighty fine eatin', for sure.

Here's what I did to hold the line:

  • I watched portion size. I've noted, in previous entries, that I do my best to eyeball my portions, and record everything as accurately as I can, in my journal. I know I won't get it exactly right, but the mere act of keeping track keeps me from going overboard. I may eat more than I planned, but not TOO much more.
  • I dialed back my daily calorie allotment, given the fact that the exercise clothing I had brought with me pretty much went unused.
  • I usually left food on my plate. At Maria's, for example, I ordered chicken tostadas. I ate one (there were two), and left the other one behind.
  • I was very careful with the ubiquitous tortilla chip-and-salsa baskets. I counted my chips as I ate them, counting about 10 calories per chip. (Accurate enough, for my purposes.)
  • I tried to eat relatively light breakfasts, knowing that I'd be eating heavier meals later in the day.

Now that I'm back home, I've cut my daily calorie count to about 1700/day, plus however many Halls mentholyptus cough drops I consume. (I didn't get fat on Halls, so I'm not going to worry about them.) I am doing some back exercises I learned last year, post-surgery. I hope to be back on my spinning bike next week. Weight training will have to "weight" for a while, I think. I'm not sure how I sprained my back (though I have a couple of theories), but going back to weight training too soon would be a terrible idea, don't you think?

Looks like I'll have to be content with bailing, for the time being.

* * * * *

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