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Posts Tagged ‘doctor’

bilbl_mainToday I had my 1-year post op appointment, and it went fabulously!  I was looking forward to it for the past couple of weeks, because I knew I was going to hear good comments.

(You guys might have noticed that I skipped my weigh-in post yesterday.  That was because for the 4th week in a row, my weight stayed the same, at 180.  That was confirmed again today at the doctor’s office.  More on that in a bit).

As soon as I got to the office, they took my vitals, including my blood pressure.  This was actually the only area of concern.  My blood pressure was elevated  (150/81) on Thursday when I went to the doctor to have the stitches on my hand removed, and at the time we wrote it off to the fact that I’d taken two flights of stairs up to the office. But when it was elevated (145/77) again today, I did get a bit concerned.  The bariatric doctor wasn’t overly worried about it because she said the diastolic number was good, and my previous records showed excellent blood pressure.  I need to get my blood drawn soon, so I think I’ll get my blood pressure checked again then, too.  Better safe than sorry.

When I saw the bariatric doctor, she was incredibly pleased with all of my numbers.  She was thrilled with my weight loss, which was 3 pounds away from losing 100 pounds in the 1 year since surgery!  I’ve lost over 80% of my excess weight, which is above average. When I asked about my goal weight of 150 lbs (30 more pounds to go), she said that it would be a perfect weight for me and there’s no reason I shouldn’t reach it.  She actually thinks that anywhere around 160 would be great for me, because it would put me in a solid BMI range. She was extremely pleased when I told her about my workout schedule (5-6 workouts a week, including cardio and toning), and said that I’ve completely transformed my lifestyle from top to bottom.  The doctor gushed about my progress, and said, “if only I could clone you!”

Then I met with the nutritionist who was also really pleased with everything I’ve been doing, especially the logging.  I told her how much I enjoyed it, especially all the connections I’ve made on MyFitnessPal. She said she really likes what I’ve been eating for lunch and dinner, but once again recommended that I eat more than a protein shake for breakfast.  Her feeling is that a protein shake doesn’t hold people long enough because it’s liquid, which runs right through you.  For me, I enjoy the shake because it does keep me satisfied, and it’s really easy.  She did like the green smoothies I’ve been having sometimes, and her only tip was to cut out the mangoes I’ve been putting in, because of the carbs.  She said she’d cut out the fruit altogether, or use berries if I really wanted fruit in them.  She also liked that lately I’ve been mixing it up by having a Quest bar and yogurt for breakfast.  So, I may try to have that more often.  The only thing she wants me to tweak is my afternoon snack – she suggested that I skip the popcorn (too many carbs, no protein) and the nuts (too much fat & calories for the little protein payoff).  She’d rather see me have string cheese and lunchmeat, cottage cheese with veggies, or Greek yogurt with Kashi Go Lean, and a 1/4 cup or less of berries. Basically, snacks = protein and fiber.  But overall, she was really happy with my food diaries. She said she likes that I enjoy cooking, and that I prepare most of my meals.  I definitely think not eating out too much has been a huge part of my success.  It’s so much easier to control what you eat when you cook for yourself, instead of not knowing exactly what they’re putting in the meals they make for you at restaurants.

When I mentioned my weight loss plateau, both the doctor and the nutritionist said that this was just my body catching up with all the weight loss.  They said that most people experienced plateaus throughout their weight loss journey, and that I was lucky that this was my first true plateau, one year out.  Neither one was at all concerned, and both seemed to think that I should just keep up with what I’ve been doing, for the most part.  I think the nutritionist’s ideas about my snacks will definitely help me reign things in and get myself back on the losing path.  If that doesn’t shake things up enough, I may do 3 days of shakes and Greek yogurt to jumpstart the scale a bit.

Today’s appointment was wonderful, and reminded me of just how far I’ve come.  To think that one year ago I was going in for surgery and today I’m only 30 pounds from my goal weight.  Amazing.  More celebratory thoughts tomorrow on my actual surgiversary.

 

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doctor

This morning I got a call from my doctor’s office letting me know that she had called in sick for the day.  This happened to me one other time and I remember thinking that it was so rare that a doctor would actually be sick.  Apparently, not as rare as I thought.

So, now I wait until next week to see the doctor because my schedule is so packed.

The good news?  I’m continuing to lose weight.  Today I weighed in at 2.3 pounds down from last week’s weight!  Of course, that’s completely unofficial until tomorrow morning, but it’s a darn good sign that things may be taking a turn towards normal, which is awesome!!!

It sort of seems like now that I finally made a doctor’s appointment, my body is getting back on track.  But that’s fine, I still want to see what the doctor has to say, because there definitely may be a medical “thing” happening.

Speaking of medical issues, did you watch Biggest Loser?  What an episode.  Now I usually cry every single time I watch that show, but last night I thought I wouldn’t be able to make it through the whole show.  What a group of contestants!  These people have some really serious emotional issues that they’ve been dealing with for a very long time.

It  was so cool to see the cutting-edge medical testing that they did on the contestants this year, and the fact that researchers are studying them in the hopes of working on obesity-related issues.  If only we could all get such thorough examinations!

I really think we’re going to see some amazing transformations (both in body and in mind/spirit) this season.

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Today I went to Kaiser for a couple of tests to see if my doctor can determine the cause of the numbness.  (Are you getting as tired as I am of reading that phrase?)

First up was an ultrasound of my legs.  I pictured myself lying on a bed, goo smothered over both naked thighs and legs, with a machine imaging the insides of them.  Luckily it was a lot less invasive than this.  The technician instructed me to take off my shoes and socks, but keep the rest of my clothes on.  Thank God!  He then put blood pressure cuffs around both arms and both ankles.  Then he smeared a small probe with the goo and put it at each spot, first “listening” to the normal pulse, then turning on the cuffs so that they tightened, and then “listened” again, once the cuff was fully expanded.  In my arms, the pulse sounded strong, even after the cuff was taut.  On my feet, the pulse definitely lessened in intensity when the cuff was expanded.  I’m not sure what this means, if anything.  Then the tech had me get up and go up and down on my tippy toes for 2 minutes in order to “stress my legs.”  And stress them they did.  I could only do about 20 of those toe lifts in a row before I had some major cramps in my legs and had to stop for a second.  I told him these cramps were exactly how it felt whenever I started fitness walking.  Then he measured everything again.  I’m hoping that the results show something.

Next I went down to pathology to get my blood drawn for a series of tests.  The doctor had instructed me to fast from midnight on, which I did.  She said I could only have water.  Not a problem.  Or so I thought.  The ladies who were going to draw the blood asked if I had any gum that morning (maybe they smelled my minty-fresh breath?).  When I said I had had some sugar free gum, they lost their shit.  They started yelling at me saying that I had broken the fast.  They were literally yelling at me over gum?!  I got angry and told them in a very strong voice that it was only sugar free gum, that my doctor hadn’t said I couldn’t have gum, and that I wanted them to draw the blood anyway, broken fast or not.  I told them that I would retake the blood test if the doctor said I needed to, but in the mean time, I wanted it taken.  I guess they realized that they were dealing with someone with half a brain, because they took the blood and then at the end mentioned that the only thing the gum might throw off were my sugar levels.  Not quite the catastrophe they made it out to be.

I got the results of the blood tests back already, and almost everything is in the normal range.  The only thing that is a bit high is the “red blood cell corpuscle width,” although I have no idea what that means.  I found out that my doctor is out of the office until Monday, but I didn’t want to wait that long to hear what these results meant in layman’s terms, so I called the advice nurse and asked that someone from the doctor’s office call me back and interpret the results to me.  They should call back within 24 hours.

I’m glad that the process of discovery has begun, and I’m truly hoping that these initial tests will indicate what the problem is.  But, I’m also preparing for the reality that we may not find out what this is with the first test and other tests may be in my future.  As long as I eventually find out what this is, I’ll be glad.

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