Showing posts with label physical medicine. Show all posts
Showing posts with label physical medicine. Show all posts

Friday, October 31, 2014

Can I just have a rewind on my day please?

I had a rough day.  Icky day.  These are the exact times that I realize I needed to have the tool of the surgery because it prevents me from picking up too much food to make myself feel better.

I started out my day at a 7 a.m. appointment at Kaiser.  It was time for me to see my physical medicine doctor to talk about my back and how well it's (not) doing.  I've been having ongoing, chronic back pain for several years now.  If you have some chronic pain, you know what I'm going through.  If you don't, count your blessings!  It's extremely difficult to feel pain every single day but I do.  I have it in my left leg, too.  After seeing a physical therapist and having a year of acupuncture treatments, it just isn't better.  Based on this morning's examination and previous interventions, the doctor determined that its muscular.  While the physical therapy and stimulation therapy takes the edge off, it's not really helping for day to day functioning.  I even explained to the doctor that weight loss isn't helping.  I'm down 120 pounds from my top weight, let alone 57 pounds since the gastric bypass surgery, and I still have the pain in the same intensity.  So she's going to try a compound cream and muscle relaxer, see how I do for 3-4 weeks.  I'm scheduled to see her for follow up the day before Thanksgiving.  At that point we'll see where I'm at.  I almost cried talking to her, just feeling extremely emotional.  I'm frustrated and the pain doesn't help.  I held it together, though.

When I got to work, I got busy with things I needed to do there.  However, two issues have come up in the last couple days that are upsetting.  While I am not going to go into specifics here because some friends from work read this blog, I will say they are staffing issues and I am not taking mistreatment towards me or similar co-workers lying down.  I am confronting people when necessary so that we can discuss issues going on.  In some ways that helped, in others things got worse because the reality of the situation reared it's ugly head.  I almost cried there, too.  I just was so upset that I got very emotional and was inches away from tears.  Yet again, I pulled it together.  Even if nothing is resolved with my confrontations, at least I know I am doing everything I can to take care of myself while still remaining professional.  On top of that, I'm also feeling emotional where work is concerned because I'm going to be starting my graduate program on November 10th.  While it's exciting for me, it's also very bittersweet because it likely means the beginning of the end of my time with my current school district.  They have rules that forbid me to be able to do school counseling (which is what my master's degree is for) in my district, even though I have 25 years with them.  It's very upsetting and incredibly emotional for me.  I'm a product of my district and have worked there since I was 17 years old.

Later in the afternoon, I had to go to the dentist.  I somehow lost part of a filling on the left side of my mouth.  Every time I drink something cold or eat something on that side, I'm in extreme pain.  As I was driving to the dentist's office, I was still feeling emotional from what happened at work and I remember thinking how badly I wanted something to eat.  As a person who has had a lifetime battle with weight, food is my go-to "drug" of choice to numb out.  Some people choose alcohol, I choose sugar and grease.  Instead, though, I focused on what I needed.  The dentist injected nova cane and drilled into my tooth then filled it.  They put headphones on me so I could blast tunes in my ears to prevent me from hearing what was going on.  Trust me, I heard!  At one point, I had my eyes open and smoke was coming out of my mouth.  I can totally see why people avoid going to the dentist.  Afterwards, I was in a lot of pain.  Half my face was numb, including my lips and jaw.  I was still upset about the first doctor's appointment and things that transpired at work and now I was dealing with numbness and pain.

When I got home, my first response was to want food.  I knew, though, it just wasn't going to solve anything.  I mean, truly, when has it ever?  I need to learn how to deal with life without going to food.  Obviously if I'm hungry and need it for nourishment, that's one thing.  In the moment, the last thing I wanted to do was eat something.  Have you ever tried eating or drinking with half your face numb?  I can just imagine the drool!  I did decide to take my contacts out and just go take a nap, even though it was later in the afternoon.  It was the best thing for me in the moment.  I just needed to rest and let my day go.  The only bad part of that is that it's just past midnight right now and I'm wide awake.  Oh well, you can't win them all.

I just need to keep suiting up, showing up and putting one foot in front of the other.  That's the best I can do because, ultimately, God's the one in charge.  I'm so happy it's officially Friday now.  Happy Halloween!

Tuesday, September 23, 2014

Weekly weigh-in

I'm winding down from a busy but great day.  I lost three pounds this week, making my loss 32 pounds since surgery and an incredible 97 pounds from my highest weight.  Maybe this next week will put me over the top!  That would be awesome.  I know I shared this on my Facebook page and Instagram, so I'm sorry if you're seeing it again, but I wanted to share some side by side photos.  Below left was taken a few months before surgery and the picture on the right was taken today.



A few people commented that I looked younger and happier in my most recent picture.  You know what?  I am happy.  Recovery from this surgery hasn't exactly been the easiest for me, but I absolutely, one hundred percent, do not regret this decision.  I know my journey is just beginning with Katrina (my new pouch), but I already feel a lot better.  Even though I would love to look cute in cute clothes, that is not why I did this surgery.  It was about desiring to have a decent quality of life, to be healthier.  That is what makes me happy.  Now, if I end up feeling more confident and rock the hell out of some jeans, I'll be okay with that, too!

This new life is so weird to navigate at times, I must admit.  I can get so full on just little bits of food.  The more dense the food is, the more full I get on just a little.  The dumping is also something that is difficult to contend with.  I have dumped on tilapia, a thin white fish, twice.  And I have gotten extremely full having imitation crab.  So then I wondered to myself if, in fact, seafood was just not agreeing with me.  Today I bought some salmon to see if maybe a thicker cut would help.  I don't have a bad reaction to shrimp, but I want to expand my possibilities if I can help it at all.  I am so thankful that, yes, Katrina was very happy with salmon.  Here's how little I had to eat when I had it for dinner.


All said and done, that is 1.75 ounces of cooked salmon and a one ounce cup of refried beans.  This is actually on a salad plate, not a regular dinner plate.  I doubt I'll ever be eating with those again!  The more dense fish is a lot more filling than beans.  In fact, that amount of fish made me more full than when I would have an 8 ounce serving back before the surgery.  Who am I kidding?  It probably wasn't even an 8 ounce serving ... it was more likely 12 ounces.  I had so much food before and now my tummy is like a baby.  I'm definitely not complaining, but it's just a different reality for me these days.  When I got the fish, I went to the seafood section in the supermarket and got fresh fish.  I asked the man helping me if I could get roughly one and a half pounds of the salmon.  When I came home and cut it up for meals, it made enough for me to have twelve meals.  That is how tiny Katrina is!

As part of having a healthier life, I am pursuing more treatment on my back because I have been suffering from chronic pain there and in my left leg for quite a few years.  There's a point where you just say enough is enough already.  I'm there now.  So this morning I had an appointment with my physical medicine doctor and then with my physical therapist right afterwards.  The doctor gave me an exam and feels the damage may be weight related and it may also be muscular.  She gave me several cortisone injections in my back.  I'm talking about six or so.  She wanted to cover the entire area that hurt and, to be fair, she did warn me that she was going to do that.  No matter how much you're prepared, though, it still freaking hurts.  She also prescribed a topical cream for me to apply to the area three times a day.  I have to wait for that to come in because it's some sort of compound that they have to special order.  Afterwards, the physical therapist gave me stimulation through a tens unit on my back.  It felt amazing.  So I'll be doing that at home, in addition to exercises to strengthen my back and leg.

As a person who is always taking care of other people, it's sometimes very difficult for me to do things to take care of myself.  Yet, I know it's time to do that.  My health has to be a top priority.  So if that means I need to do more things to care for my body, then that's what I will need to do.  Without even realizing it, I'm doing things throughout the day that fits in the category of self-care.
I logged these miles into my Fitbit today without even realizing how much I was doing.


It's the most I have walked since having the surgery.  And it felt amazing.  I wasn't feeling pain on my sides from my incisions like I have been these last several weeks in recovery.  It just felt nice to be active and know that every action I take towards my health is a win for me.  Like I said, I feel happy and I'm just going to roll with it.