It’s been awhile…

…yes, indeed, it has.  You’ve heard the old cliches… life gets busy, you feel better and start forgetting, yada yada yada.  And all that’s true.  I have been feeling better.  Life has been busy.  You forget things as mundane as keeping up a blog.  All that stuff.  And while things have been going in a generally positive direction, for which I am deeply grateful, all has not been perfect.

Back on December 18th I talked about water weight, sodium, and weight in general.  My cardiologist and I got things worked out pretty quickly and things were going along well… until mid February of this year.  Nothing had really changed, and I started gaining weight in leaps and bounds.  Long story short I gained about 22 lbs in just over two months.  I usually hover around 242-ish, give or take a pound, or two, on any given day.  Now I’m hovering in the 260 to 265 lb range, the highest I have ever been.  At least I seem to have plateaued, but it still feels defeating.

For about two months I didn’t think it was water weight, so I didn’t contact my cardiologist, which was a mistake.  I wasn’t showing any of the other symptoms.  I wasn’t bloated (heavy, uncomfortable, but not bloated), I wasn’t achy, I wasn’t short of breath, or any of that other stuff, just gaining weight rapidly.

Once I woke up and realized what was going on, to the doctor I went.  We decided to change one of my medications, the ‘water pill’, and increase it and my potassium to twice a day, lower my sodium intake as much as possible, and go from there.  I’m still hovering, which is kind of disappointing.  I owe him a new blood test next week, and we will reassess then and move forward.

The moral of the story:  Don’t be proud.  Don’t be stubborn.  Stubborn is dumb!  Stubborn is dangerous.  Stubborn could lead to congestive heart failure.  That’s not a real fine option.  Don’t be stubborn!

Upcoming:  Rehab & glucose monitoring.  (For my own reminders, more than anything.)

Consciousnesses

I honestly consider myself very fortunate that everything has gone so well, regarding surgery and recovery. I do struggle with maintaining a proper diet, but I am doing better in a relative sense, so I’m telling myself that’s going in a positive direction.

I don’t remember if I mentioned this before, but in my rehab class I’m probably one of the better/best “in shape” people, which makes me feel good, but on the flip side I’m also clearly the youngest, which I do not consider to be a badge of honor.

You never know, though, just by looking at someone.  There was one guy, 79 years old and super nice, who could run circles around me and everyone else, but he’s done now.  He left early because his insurance wouldn’t pay for anymore and he could walk at home for free.  Can’t say that I blame him on that one, though I was sorry to see him go.

It’s interesting to me that there’s a couple guys in rehab that you can tell are concerned with their macho image. As part of our “cool down” at the end there’s a little weight training, just really minor. These guys will pick the biggest weights, and the way they work them you’d swear they think they’re on Venice Beach, or something, posing for the babes. 🙄

One of these guys, who finished just last week, I believe has had a couple minor “events” during his rehab workout. He always has the biggest weights, his treadmill was always set at the highest incline and a high speed, and so on. I felt like he was showing off as much as anything, but the “events” told me he needed to be smarter about it.

As for me, I’m quite content just doing my thing and working in a smooth and steady progression.  That’s fine by me.

It’s the little things… and some TMI

Checking in before the big Christmas holiday and thought I’d share some random stuff, just some random observations and experiences.  So, let’s get started…

Water Weight

No, I’m not talking about weight gain from water retention due to increased sodium.  Technically.  This time, anyway.  Though that is part of it.  I’m talking literally how much water weighs, and how this relates to your body weight.

As part of my water retention regimen my doctor has me weighing myself once a day every day and recording the results.  I had always been told that when on a weight loss program that you should weigh yourself no more than once a week, or else you become too obsessed with the numbers and start making bad choices and veer off-track.

But I’m not trying to lose weight, per se, I’m monitoring water retention in my body, which is most easily measured by body weight, and since water retention from sodium can fluctuate drastically from day to day, then a daily weight measurement is justified.  Plus, to keep an accurate comparison you should weigh yourself at the same time and same circumstances every day.  My choice is to weigh myself before I get into the shower.  Naked, of course.

In my quest for ‘encouraging’ numbers, I became curious the difference between before and after peeing.  Turns out there’s quite a notable difference… 1.0 to 1.8 lbs difference, in fact.  I’m almost embarrassed to admit that I got kind of excited.  I could shave one to two lbs off my weight in an instant.  The numbers looked now ever so slightly better.  Obviously nothing had really changed, I was merely gaming the numbers, but at the same time I’m not cheating, either.  I’m still weighing myself under the same circumstances every day.

Sometimes it’s the little things, the little “victories”, that serve as unexpected encouragement.  LOL!

Reasonable Eating… Holiday and Otherwise

As a heart bypass surgery patient I have doctor instructions to consume less sodium, as little as possible, knowing that one’s body needs some sodium to survive and that some level of sodium is in virtually everything.  This has been placed as an even higher priority than watching my carbohydrates (carbs) for my diabetes.

The key, of course, is to strike a sensible balance.  Too many people freak out and try to do zero sodium, and that’s simply not realistic.  On the flip side, many people completely ignore the advice and warnings and go back to what they’ve always done… go back to what got them where they are to begin with.

I’m trying to strike a reasonable balance, a happy medium, if you will.  I want to be healthy, but I also want taste, and given that a person literally needs some sodium I think that’s a reasonable quest.  Here’s my current plan of attack, as preliminary as it is…

  • Virtually eliminating adding salt when cooking.
  • Eliminating added table salt on most dishes where it really doesn’t make a difference and I was adding it for added flavor.
  • On a small handful of dishes where it does make a difference, I keep adding table salt, just not as much.
  • Seeking and trying various low-sodium recipes… which is a very hit-and-miss prospect.

This whole process doesn’t necessarily have to be rocket science.  That’s why I’m thinking my approach above is reasonable… and realistic.

And be wary of various pre-packaged low/no-sodium and low/no-fat and low/no sugar.  Read the labels.  Read the ingredients.  If they cut the fat, they might have increased the sodium.  If they cut the sodium, they might have increased the sugar.  You can’t win for losing.  “Diet products”, I call them, generically.  I prefer to eat the real thing and watch my portion control.

Here’s a recipe that I found that is quite tasty AND low in sodium, 150 mg per serving, Green Beans Amandine with Almonds and Garlic.  The only modification I made was using regular fresh green beans instead of haricot verts.  It was a nice edition to my Thanksgiving dinner.

For every yin there’s a yang.  Another new recipe I tried was a low-sodium turkey gravy.  Long story short, I’ll never do that one again.  I’m going to guess that it is for people who have to aim for almost nothing in sodium because they’re in an even more dire health situation than I am.  It literally had no taste, even after I added pan drippings to enhance the turkey flavor.  My dressing and mashed potatoes actually tasted better without the gravy than with.

There’s going to be a lot of testing, triumphs and failures, as you work out your new diet.  The primary point that I’m trying to convey here is to be reasonable and realistic.  You will never find the ideal food or recipe, the one that combines perfect sodium, carbs, vitamins, and taste.  Work out something you can live with… literally.

Note:  This is just what I am doing.  I am not a doctor, and this is not medical advice.  Please consult with your physician before making any changes.

Diet… Does Eating Suck Now?

Many people worry about this, and I’ll admit that I did, too.  I mean, who doesn’t like good food, right?  We can all breath a sigh of relief, it’s not quite as drastic as our fears led us to believe.  A couple friends of mine told me that, for the first month or so after surgery, food tastes terrible.  Not different or unrecognizable, per se, just bad.  Lucky for me, my experience wasn’t like that.  Food still tasted like it was supposed to, though maybe a little ‘dull’ for a short time.  In my case, food tasted fine and I was able to eat almost immediately.

The first day in ICU I was restricted to a solely liquid diet, but that soon after surgery I really didn’t want to eat anyway, so that was fine with me.  The first day and a half in the regular hospital room they fed me normal meals, but I wasn’t all that hungry so I ate only bits and portions.  One meal I didn’t eat at all because I simply wasn’t hungry.  After that I ate fine, and my appetite has been normal since.

And for what it’s worth the hospital food was actually pretty decent, even good at times… though the “pot roast” had the texture of something out of old Army C-rations.  There’s a not too fond memory I’d rather push back into the deep dark recesses of my brain.

The big change in my diet kind of surprised me.  Being diabetic and having everybody continually harp on me about blood sugar and carbs I was expecting a huge restriction there.  Not so.  Now don’t get me wrong, carb watching is still as important as ever.  I still have to keep them in check and do the right thing.  No, the big thing for me, at least for the foreseeable future, is sodium.  I need to keep my salt intake down and well-managed.  My hospital meals were specially designated as low-sodium, or possibly even no-sodium, I forget.  They also made it a point to provide packets of Mrs Dash for seasoning to replace the salt.  So the #1 dietary goal for me right now is reduce my sodium intake.  I can do that.

About 15-ish years ago I eliminated added table salt on all foods, except french fries, corn on the cob, and popcorn.  I did that for several years, but slowly backed away and started adding table salt to everything again.  Well, now I’m determined to go back to that goal… and add french fries to the no salt rule.  I even used Mrs Dash on some corn on the cob tonight and it was very good.  I still can’t envision unsalted popcorn, though.

I’m also making an effort to make more foods either from scratch, or at least simpler.  Packaged foods and mixes usually contain a bunch of sodium, for both taste and preservative purposes.  And here’s a fun fact:  Low-calorie, reduced-calorie, non-fat, and low-fat foods… basically anything packaged and marketed as an allegedly ‘healthier’ alternative… almost always have something increased to make up for what they took out, and very often that addition is a boatload of sodium.  For a few years now my position has been to eat the real thing, just watch portion control.

So, here’s my ‘new’ dietary regimen…

  • Reduce sodium greatly.
  • Keep watching my carbs.
  • Watch my portions… not easy for me, but I’ve been good so far.
  • Eat real food, not bastardized concoctions, just watch portions (there’s that theme again).

See, it’s really not all that bad.  Instead of ordering a meal and an appetizer, I pick one or the other, but not both.  If I go to fast food, instead of a value meal and another burger as a side… yes, I do that… just the value meal.  No more side burgers.  And guess what… it’s really not that bad.  I’m still satisfied when done.

Eat well, and bon appétit.  🙂

Stunted by Emotions

Ken asked me to contribute to this blog.  I wanted to a few times.  I would start, stop, start again.  I could not find the words to describe how I was feeling and dealing with everything.  I have decided to just lay it out and hope you can understand it all.  I will start with my emotions leading up to the angioplasty and then what I felt after that.

As Ken explained, the nurse from the cardiologist’s office was trying hard to reach us. When he found out what was going on he called me and told me we were going to need to go in for the angioplasty.  He explained why and what that was.  I was sitting in the waiting room at the eye doctors waiting for his mom to be done with her appointment.  All I could think of was that I didn’t want to lose it there.  Then he asked me to talk to his mom about it.  “Sigh!”  Hold it together even longer.  I can do this!

The day of the angioplasty comes.  I was prepared to sit and do some work on my computer while they worked on him.  I barely got set up and the nurse was coming for me.  She took me to a little room with a computer in it.  I was not sure what was going on, but I knew in my gut that it wasn’t good.  The doctor came in and went to the computer to show me the pictures of Ken’s heart.  He told me that they found many blockages and that there was no way a stent would do it.  I was stunned.  He informed me that it was from years of diabetes issues.  However, the working part of his heart was strong.  At least one thing was good!

Once I was away from the doctor the anxiety set in.  I paced and started to feel out of breath.  I knew I needed help to not have an anxiety attack.  I called my mom.  She is always my rock and I needed her on the prayer chain.  She calmed me and was very helpful.  One more call to a friend to fill the rest of the time before they came to get me and I was calm when I got in the room with Ken.

This is where we learned of the waiting game that would become our lives.  I didn’t know what that meant at that moment, but I soon found out it meant anxiety, stress, and headaches.  We are almost there and I, for one, can’t wait!

Missy 😊