Posts Tagged ‘weight loss

13
Jun
08

June 13, 2008

Can you say “hypovitaminosis”? I knew that you could!

The test results from my first quarterly check-up with my oncologist are back – no thyroid problems, no organ function problems, but I am Vitamin D deficient. Not radically so, the number is just on the very low end of the normal range. The doctor wanted me to take another 200 I.U., and while I was on the phone with the nurse, I told her that I am already taking 2000 I.U. daily in a Vitamin D supplement, plus I think there’s some in my Calcium supplement (I’ve been on this dose for a couple months). She checked with the doctor, who said that I should maintain this dosage for three months and we’ll do a re-check at the next quarterly appointment.

I asked if D hypovitaminosis (isn’t that a fabulous word?!?) could be the cause of my general fatigue, but she didn’t think so, and based on a quick google of the disease, it’s not a typical symptom. On the other hand, it is possible that I have had a deficiency of Vitamin D all my life, since my knees are valgus ($20 word for knock-kneed) – this is one way in which rickets presents in children.

Recently, Vitamin D deficiency has been linked to a predisposition for some cancers, including breast cancer; it also is listed as a predisposing condition for IBD, MS, ischemic heart disease, hypertension, type 2 diabetes, and others. I so do not need any of these!

For now I’ll operate under the presumption that my fatigue is related to recovery from surgery, even though it is more than 3 months since the last one. If it continues, I’ll pester the doctor again prior to my quarterly exam.

In other news, since I’m not downtown today (taking the day off), I’ll weigh in on Monday, then try to get back onto my normal Friday weigh-in meeting schedule. According to my home scale, my weight is stable since the last weigh-in on Monday. So last night I stopped at the store and bought some rabbit food, because I haven’t been eating enough fruits and vegetables the last couple weeks. It may be too little, too late; but then again, better late than never.

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09
Jun
08

June 9, 2008

Considering what a bad girl I was last week, it hardly seems fair that my weight went down. Only 0.6 pounds, but hey, down is down. I suspect that the long working hours, the short sleep, and the hauling of boxes, walking from event to event, and general busyness counterbalanced the fried foods; the cheeses and sauces; the pasta, breads, pastries, baked goods, and desserts; and the 1/2 Lemon Drop and one Hefeweizen. I also tried to eat small portions, so even though I had a lot of unhealthy things, I didn’t eat much of any one thing. At one meal, there were no vegetables other than artichoke poppers, spanikopita, and caesar salad drenched in dressing – so I grabbed some tomato wedges that were garnishing the salmon platter. So far, I don’t seem to be having any symptoms of salmonella.

The symposium went extremely well, and with only a couple hitches that were fairly easy to rectify. The early mornings were hard, but plenty of coffee got me through the day. By the end of the 3rd day, my feet were killing me, and wearing heels messed up my back a little bit, although it does seem to be recovering fairly quickly. Interestingly, I can’t remember having a single hot flash during the symposium – however, I was having them the night before, and I have had a couple since. Go figure.

I had my first quarterly exam with the oncologist today, and he seems pleased with how I’m doing. When I complained about being tired (after I’d already told him about the nasty cold and the very long hours), he responded (in a manner that bordered on snarkasm) that who wouldn’t be, after all that? However, he did check my blood oxygen level to confirm that I don’t have another pulmonary embolism (my cold symptoms were similar enough to PE symptoms that he just wanted to make sure); and I’d already had a thyroid blood test scheduled because I’d been complaining about being tired prior to the cold. My blood counts (both red and white) are normal, so I’m not anemic, and hopefully I should have the results back on the thyroid test in a couple days. Since I’m losing weight, I suspect that I’m not hypothyroid – my skin is definitely not dry, either, which seems contraindicative. Apparently a lot of people have few or no symptoms of hypothyroidism – and my older brother is hypothyroid, so it’s possible it runs in the family. Guess I’ll find out. . .

04
Mar
08

March 4, 2007

Hi y’all –

Thank you, everyone, for the cards, calls, flowers, and visits! I am doing pretty well, for the most part. I had a lot of pain on Saturday while I was still at the hospital, but Sunday and Monday I had cut way down on the pain pills because I wasn’t having a lot of problems.

Sunday evening the waited-for event, some indication that my bowels were coming back online, made itself known, and I celebrated by reducing the pain pills even further. It all started to seem pretty normal, but then Monday evening, I hit a snag. Rather than constipation relieved by the stool softeners, I started having diarrhea, which I suspected was being exacerbated by the stool softeners because I’d reduced the amount of oxycodone, but not the colace. Suddenly, there wasn’t as much need to soften things, but it was still working on it. I also developed a mild fever of 100.4 degrees, which is verboten after surgery. Since it was midnight by the time I took my temperature, I didn’t call the doctor, and planned to call them this morning at 8:00, after having taken my temperature again so I could give them an accurate update. I also bumped the oxycodone dose back up, both because I was starting to feel a lot more pain, but also because I thought it had acetaminophen in it to help control the fever. Apparently I was wrong about that, but it certainly helped with the pain.

By this morning, my temp was back down to normal (which for me is typically right around 98 degrees).  The surgeon’s advice nurse said to call if my temp went back up, but otherwise I could just take some immodium for the diarrhea.

So far I haven’t had any indications that I’ve entered menopause, and have even been chilled, rather than too warm. Finally, last night while I was snatching cat-naps between cramps, I started sleeping hot again for the first time since my surgery (something I’ve done for many, many years). I had to strip the blankets off, take off my hat, remove my sweater, and pull my neck scarf off – all items I’d been too cold to go without since I got home from the hospital. Even though I started out by putting everything back on, I just kept having to remove it all again, so I ended up wrapping the scarf around my shoulders and pulling up one blanket.

I haven’t been focusing on eating all my points for Weight Watchers, mostly because it has been a bit of a struggle to eat much of anything.  I do get hungry, but it doesn’t take much to satisfy the hunger, and so I haven’t been worried that I’m overeating.  I probably am undereating, which is just as bad, but I had planned on taking one to two weeks break, and am hoping that at the least I will maintain my previous weight loss, and if I’m lucky lose some more, rather than putting on anything.  As of this morning, I’m at about the same weight I was at my last official weigh in.

The laparoscopic scars are small, and although I’m sure there are stitches inside, the outside was only sealed with glue.  As I’ve had to clean spots to give myself my Lovanox injections, I clean off the iodine – there are gleaming white patches amidst the jaundice-yellow overall tone of my skin currently.  I haven’t seen the scars for the reconstruction yet – my first post-surgery follow-up appointment is Thursday, and I can’t change the dressing or shower until then.  Fortunately my hair is so short that I don’t have to worry about trying to keep it clean – also, I still haven’t gone back to my excessively oily skin and hair that I had prior to chemo.  I’m hoping that part is a permanent change.

I’m about due for my next dose of pain pills, and am going to have a mug of boullion then lay down again.  I haven’t had a lot of focus so far, yet it’s so much better than the previous surgery – I can read, and although I don’t read much at a time, I *remember* what I’ve read so I can be right back into it when I pick up the book again.

Poor Robin is resigned to my being boring again – he follows me everywhere (I am still getting up and pacing around the house periodically), and collapses at the foot of my chair if I don’t get the foot elevated right away.  Sigh.

Julie




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