As I sit here eating my lunch – because my appetite is still quite strong – I was thinking about a few things regarding my surgery and recovery. Thought I’d take a few minutes to share them because, why not?
Healing: the healing process is frustrating slow. Not regarding the stoma, that seems fine, but the darn incision. Most of the incision is healed and scarred (lovely) but a couple spots just don’t seem to want to close and keep oozing. Not blood, but exactly what you think of when you hear or read the word “ooze.” So, I’m changing dressing twice a day to keep up with the flow and trying not to get too grossed out when I do. Yesterday at the doctor’s office he essentially cauterized a couple areas of what he called “granulation.” When talking about skin healing, granulation is the process where new tissue is created to fill in the gaps of the wound. It starts from the base up, so for a deep wound it takes some time. However, in my case, I had a couple areas that overgrew and formed small lumps on the scar. These may have been infected so the cure was to remove them chemically and one by “snipping” it off. The Good News: If all goes well, my oozing should stop in about a week or at least dramatically slow. I’m looking forward to not changing dressing.
Output: I can’t seem to get the hang of regulating the output of my stoma. Everytime I think things are settling down – so I don’t have to empty out every hour – I backslide. I’ve discovered that lemonade is a problem so I have to avoid that. I’m taking imodium like it’s candy (up to four pills, four times a day), and have eaten enough toast, applesauce, bananas, and rice krispies to bind up an elephant! But, I’m spending more time in the bathroom now than before the surgery. The Good News: The doctor thinks I’m making progress and have the tools I need to get there. I’m not de-hydrated and my weight is stable. He thinks I look “great” so there’s that. Of course, he’s only seen me two times now (part of the post-surgery clinic).
Breakage and Leakage: not fun anytime, especially in the middle of the night or when out and about trying to do normal activities. The Good News: I seem to have re-gained the hang of when to change my appliance. No accidents for more than a week now (knock wood).
Enough venting. According to the doctor I’m free of all lifting and exercise restrictions. I plan to start working out – slowly – this week and get back to tap dancing again next week.
And, then there’s my trip to Florida in about two weeks…
“Mr. Wahr, Mr. Wahr? Do you know what’s happening?” the young med student who just woke me at 4:00 A.M. asked me.
“I think so,” I replied. I had come in to the University of Michigan Hospital less than 24 hours earlier with abdominal pains that didn’t feel like a normal Crohn’s attack. Something was off so after much hemming and hawing I finally decided that given my heart history I really couldn’t take the chance that something was really wrong. Especially since the pains had started the day before and weren’t lessening as was the usual pattern with my Crohn’s, “but why don’t you tell me.”
She looked at me with sympathetic eyes and said, “you’re going in for emergency surgery. A surgeon will be in shortly to explain.” Surgery? I had certainly anticipated this. In the Emergency Department they had determined that I had what they called a “micro fissure” of the fistula in my ileum. But, at least at that time, they didn’t think I needed surgery within 12 hours. So I had been moved to a room for observation.
Almost as soon as she finished her sentence a young man appeared at my bedside – why are all doctors so young now? – in a polite, but firm tone he said, “Mr. Wahr, I’m sorry but you need to sign some forms to authorize surgery. Here, here, and here.”
“Surgery?” I asked.
“Yes, we can’t get your fever under control. Our only choice is to go in and remove the cause of the infection. Otherwise your prognosis…we’ll it isn’t good,” he said in a quiet, somber tone. I understood what he was telling me and started signing the forms.
“I need to tell you of all the possibilities of having this surgery,” and he listed off the usual complications and issues and then added, “and you may end up with a stoma.” By this time another surgeon had joined the growing group at my bedside. She seemed to be in charge.
“May end up with a stoma?” I asked, “how likely is that?” The new surgeon answered, ” well, we never go in planning to create a stoma, but until we go in I can’t say for sure. They’s be coming to move you to surgery in a few minutes.”
The doctors disappeared and my nurse appeared to start prepping me for moving to pre-op. As she moved my IV bags the transport team came in. “We’re going to take you down to surgery now,” the nurse said. I grabbed my phone and sent a quick text to my brother. If something happened during surgery, I wanted someone in my family to know what happened while they slept.
In pre-op I was greeted by even more medical staff. One of the anesthesiologists started to ask me a slew of questions, a woman who identified herself as a nurse held my hand and spoke to me in a comforting manner, then I heard doors open, multiple footsteps and could feel the group around me stiffen a little.
“Mr. Wahr, I’m the faculty surgeon overseeing your operation. Here’s what’s happening. The fissure you have is worse than we thought. The contents of your bowels are emptying into your abdominal cavity, causing infection. If we don’t go in and stop this, we won’t be able to bring the infection under control. The outcome will not be positive. Do you understand?” I nodded that I did. “We’ll remove the damaged areas of your intestine and when you wake up you will have a stoma. Do you know what this is?”
“Yes,” I replied, “but it sounds better than the alternative.”
“It is,” the surgeon replied. “You’ll be going into surgery now.” And with that they began to wheel me to the operating room. I noticed the time on a clock. It was not even 5:00 A.M. They were not wasting any time which told me all I needed to know about the seriousness of my situation.
A quick trip down the hall, during which I mostly observed the ceiling, and we were in the operating room. A white, sterile looking space filled with equipment and a woman sitting in the corner covered with a blanket around her shoulders. Part of the anesthesiology team perhaps? I’ll never know. A quick transfer from my bed to the “table” and the voice of the anesthesiologists who spoke to me earlier. “Are we ready? Okay, here we go.” A mask was put on my face and just as I was wondering if this was it and would I ever wake up, everything went black.
Next thing I knew, I heard a disembodied voice asking me questions, “Mr. Wahr, can you tell me where you are?”
“U of M Hospital, I’m having surgery.”
“Very good, everything went well. You’re going to a room now.”
I continued to drift in and out of consciousness for an unknown amount of time. It was about 10:00 A.M. when I finally seemed to actually wake up. I said a silent prayer thanking God for letting me wake up and yet another doctor came into my room. This, I would later learn, was the “attending” doctor for the intensive care unit I was in.
“Mr. Wahr? How are you doing?” he asked.
“I guess fine. Considering.”
“Yes, I understand. The good news is that the surgery went well. You do have a stoma, but the infection and fever are gone and you should make a full recovery. You were lucky,” he paused to consider his words carefully, “this was the kind of thing that people die from.”
“So I hear.”
He went on to tell me a little more about the surgery and that the surgeon would be in later to check on me (as he did each day I was at the hospital). He then left me with the nurse so I could settle in.
Thus begins my newest adventure with Crohn’s. In a way I always suspected that this day was in my future – yet it was still a surprise when it happened. Many Crohn’s patients end up in surgery and with stomas. I’ve managed to avoid it for more than 30 years so in that sense I’ve been fortunate. And there is the possibility that in 6 months or so, presuming that the Crohn’s is under control, that I could be “hooked back up” so that my colon can be useful again. So, all in all, I’m handling the situation pretty well.
My current concerns while I recuperate and adjust to life with an appliance attached to my side (which does get changed every three to four days): 1) dehydration – most of the water for the body is absorbed by the colon. It will take time for my small intestine to realize it needs to pick up the slack; 2) weight loss – even though my appetite is good, food is still passing through my intestine too quickly. As a result, I’ve been slowly losing weight (almost a pound a day). Something a lot of folks dream of, but be careful what you wish for. When I was first diagnosed with Crohn’s I dropped down to about 140 pounds from my then previous weight of 180 pounds before being stabilized. I sure don’t want to be that thin again. Plus, all the weight seems to be disappearing from my chest and shoulders and thighs. Not my belly where I really don’t need it. Muscle loss is certain at this point. There goes the last 30 years of training down the drain; 3) infection, which I’ve avoided so far, always a risk after surgery but especially for someone with a weakened immune system; 4) controlling the Crohn’s. My past medical regimen didn’t prevent the fissure which is an indication that the treatments weren’t working. The interesting thing now is that my Crohn’s has historically been localized to the ileum. Now that my ileum, about a meter’s worth of small intestine, is gone the question is will my Crohn’s flare up somewhere else?
That’s it in a nutshell. I’m managing to deal with the appliance pretty well so far with only a couple mishaps (one in the doctor’s office) and I’m looking forward to returning to work soon.
Of course, I’ll keep blogging about my experience in the hopes of helping someone else with the same or similar situation. There’s always hope folks and we are all in this together.
On a side note, I had an interesting experience that was repeated with three nurses as they prepared to give me an injection in the back of my arm. It went something like this:
“Left or right arm?” the nurse asks.
“Doesn’t matter. Left.” I reply.
“Okay,” takes my arm to prepare the injection site. Stops and says, “oh, I’m not sure what this is. Is there a tumor in your arm? Or is that your tricep?”
“I hope it’s my tricep.”
“Yes, I guess it is. Not used to seeing a tricep like this. Very impressive.”
Now, I can’t be sure if the comment – from three different nurses – means I have an oddly shaped tricep or if they just don’t expect a relatively well developed tricep on a…ahem…mature man (though I think it’s looking pretty puny right now). I’ll go with the latter as it makes me feel better about myself. You have to look for the positive in every situation after all.
Wow, it’s been a long time since I’ve posted (April) so there’s a lot to catch up on. Mostly good…
Crohn’s: we, my gastroenterologist and I, have decided to change my medication and I’m no longer on Humira and have switched to Entyvio (vendolizumab). She, my gastroenterologist, strongly suspected that the Humira wasn’t keeping me as well controlled as I thought and after consultation with my cardiologist – who now gets consulted by every doctor I have – recommended that I try something else. I’m all for anything that can better control my symptoms, of course, and so I now get infusions instead of taking a weekly injection. I’ve had some flares since starting the new treatment, including one that sent me to the emergency room while traveling out of town.
The issue wasn’t the Crohn’s directly, as the pain wasn’t that bad, but dehydration
brought on by the Crohn’s. I just wasn’t going to take a chance since we think that a Crohn’s attack brought on my heart attack and my symptoms (severe chills) were just too unusual for me. I was so cold, inside my hotel room under my blankets, that if I were outside camping I would have thought I had hypothermia.
Long story short, one ambulance ride and two IVs of fluid later, I was back at my hotel feeling a whole lot better.
I’ve had one or two other minor flares since starting the treatment, but I’m still within what they call the “ramp up” phase of the infusions so the drug hasn’t reached it’s full efficacy (full effectiveness) yet. My next infusion is August 9th so we should know by then.
In addition to the Entyvio, we are also being more aggressive in treating my anemia – presumably caused by the Crohn’s – and have started getting iron infusions as well. Interestingly enough, if these work I’ll only need two and the benefits will last months and possibly years! The first infusion was this week and so far no side effects so we know I didn’t get too much iron. The second is next week and it will then be a few weeks after that before we know if it works. If all goes well I’ll have more energy and actually be breathing easier as well. Which means, you guessed it, less strain on the heart (concern #1).
Cardiac Health: I finished my cardio rehab with flying colors. My exercise therapist said I was a star pupil and an example for others and sent me off with instructions to
continue my work and a hope that he never sees me again – at least in rehab. If anyone out there has a heart issue and is offered the opportunity to take rehab DO IT! I left knowing my body better and more importantly my limits. I can judge when I might be pushing too hard and, just as importantly, when I’m not pushing hard enough.
Thanks to rehab I had the confidence to run in the Rose Run again this year. This is the annual 5K to support breast cancer research held in Petersburg, Michigan in July and Burbank, California in October. If there are two more disparate communities to host the same event out there I couldn’t tell you where they are! Anyway, I didn’t beat my time from last year (sob), but I finished feeling good and, here’s the important part, without a cardiac event!
I got my first deep tissue massage. I’ve been having some intermittent muscle pains, especially in my chest, and my primary care physician suggested massages as a regular treatment. Well, while traveling on business I was a spa in Saratoga Springs, NY and some free time so I treated myself to a mineral bath and a deep tissue massage. Wow! I had no idea how tight I was until my masseuse started her work. I was never in pain, but came close. She also confirmed that I had a couple substantial “knots” in my chest that one massage wasn’t going to get rid of. So she gave me a couple stretches to do on my own and suggested fascial stretch therapy. I’ve been looking into this and will likely give it a try within the next couple weeks. I’ll blog more on this later.
I did start yoga, but have fallen off the wagon. I need to get back on it as this does help with stress, breathing, flexibility, and a lot of other benefits. I been using routines on youtube led by Adriene. Her videos were suggested by a friend and I find her teaching method to be easy to follow and a good introduction to yoga. Plus, you can do it from your home. I’m sure most would say that a video can’t replace a good in person instructor, but honestly, I’m not reading to show my downward dog in public yet – let alone a warrior three!
Nutrition: Um, yeah, about that. Did I mention that I was traveling a lot? I have a lot of “adjustments” to make. Moving on…
Overall Fitness: I’m still lifting weights a couple times a week. Not seeing much progress in this area and I haven’t been pushing. It’s time to make a few changes and a few gains. I can’t go heavy on lifts like the bench press anymore (see cardiac health) but as long as I don’t raise my blood pressure I can do pretty much everything I used to. Weight lifting was part of cardio rehab so I see no reason not to continue. Too many people don’t realize that strength training is especially important as we get older.
I’ve read that the average man without training loses about 10 pounds of muscle each decade after the age of 30 (yes, 30). Regular resistance training (i.e. weights) can slow down and even reverse that loss. In fact, I would say in my case, I was actually at my strongest in my late forties. I may never bench 350 again but I can be stronger than I am now and less likely to fall and break something! I suggest you do the same.
Several positive items to report in my renewed quest for fitness since the discovery that I had a heart attack sometime in the past (likely, in my mind at least, in January of 2017).
Mental Health: first and foremost, my mood has improved considerably. Thanks to cardio rehab and the natural adaptation process that we all go through after experiencing major life events I’m happier than I’ve been in a while and am functioning again. At least in my opinion (my friends and co-workers may continue to disagree but that’s their problem). I am looking forward to the future for the most part again and not afraid that each day will be my last – even if it turns out to be.
Physical Health and Exercise: cardio rehab goes well and I’m making progress. I’m biking and walking like I should on days I don’t have rehab – even beating several other “steppers” in my weekly Fitbit step challenge – which I wasn’t doing for a long time. I get through my tap dancing each week without feeling like I’m going to pass out and I’m in general feeling more energetic.
More exciting is that my bodyfat percentage has been on a downward trend for about four weeks now even though my body weight has increased slightly. In bodybuilding this would be known as “making gains.” Not by huge amounts, after all I’m not a newbie or a teenager anymore, but a clear trend. It does mean that I’m not losing fat as is actual goal, but it means that I’m gaining more muscle than fat which isn’t bad either. Especially for someone who is in late middle-age (unless I live to be 130).
Last month I mentioned I was being tested for asthma and the good news is that my lungs are “normal” and have no obstructions. Something is still going on with my breathing though and my gastroenterologist has put me on iron thinking that my anemia could be contributing to the issue.
I do have sleep apnea, both obstructive and central, for which I’ll be getting a CPAP machine for this coming week (I hope). I have one more night of testing with various devices to see which will work best for me.
Crohn’s: speaking of gastroenterology, we’ve decided that my Humira may not be doing the best job for me. So we are switching things up and I’m going to Entyvio. The plus side of this is that I only get an infusion every 8 weeks (at home) instead of a weekly injection. I’ll be blogging more on this as treatments begin.
Nutrition: here’s the hard part. I’ve discovered something that I probably should have known all along. Sugar is bad for you. At least added sugar is. And like sodium, the stuff is everywhere. According to the American Heart Association men should restrict their added sugar levels to just 9 teaspoons a day (4 grams = 1 teaspoon) and women only 6 teaspoons. This means that if you have one 12 ounce can of pop a day, non-diet variety, you’ve gone over your limit. Not to mention the mega servings most of us consume! I drink the diet stuff so that’s not a source of sugar for me, but my sweet tooth may literally be the death of me. Especially when you consider that sugar has inflammatory properties – which can aggravate my Crohn’s, which may have caused my heart attack in the first place!
Overall: I’m doing as well as can be expected and maybe a little better even. I thank God for each day I’m given and that I’m not worse off.
It’s an old saying but true: it could be worse. Oh well, it’s back to the grocery store I go!
While waiting for my brother-in-law to come pick me up and take me to the Emergency Room I just lost it. Why was this happening? Why couldn’t I cope with this? What have I done with my life? Is this really it? Is it over? Just a few of the many thoughts flying through my mind as I tried to digest the news I had gotten earlier in the week. My heart was damaged.
I had suffered a heart attack. I thought I was having another one now.
Now, interestingly enough, this wasn’t news to me. As I blogged earlier (Total Eclipse By My Heart) I knew that I had apparently suffered a heart attack some time in the past. The echo cardiogram had indicated reduced heart function. I had learned this more than a month earlier and seemed to be handling the news well. But, earlier in the week I had an appointment with a cardiologist. She recommended a heart catheterization to investigate further (for those who don’t know, this is a procedure where they actually insert a “tube” into your heart to find out what’s going on. I’ll spare the details, but there’s more info here). The test was less than a week away. But for some reason the news was really hitting home now.
As often happens with people in my situation, I became hyper aware of every little twitch, pulse, pang, twinge, tightness, tingle, etc. of my body and my chest in particular. And trust me, for a middle age man in his late fifties – there are a lot of them. Finally the feelings – some brought on by my medication – became too much and I thought my heart was failing. Add a feeling of impending doom (another warning sign of a heart attack by the way) and I just lost it. I called family who immediately rushed to respond (thank you) and then just blubbered like a baby. Something I hadn’t done since my father passed away four years ago. I miss my dad dearly, but I’m not anxious to see him again if you know what I mean.
Fast forward several hours to the University of Michigan Emergency room and I’m lying there talking with a wonderful head resident – who’s name I wish I had taken note of – and she’s advising me that there appears to be no immediate issue with my heart. In fact, if they didn’t know about my earlier diagnoses they would have thought I was in very good health, but that sounded like it has been a life changing event and maybe I needed to find someone to talk to about it.
She was right of course.
This news was, and still is, life changing. One week I’m hiking through the mountains of Colorado, hanging out with Olympians (more on that story here), feeling like a teenager who just discovered the gym, a little sore but full of energy, on most days, and enjoying a relatively active lifestyle. The next, I’m lying in an emergency room surrounded by people who are literally dying and thinking that I might be one of them.
One day I see myself as a strong, healthy “old man” who can bench more than most twenty somethings. The next day I see myself as a feeble old man who’s days are numbered and has one foot in the grave. I moved mentally from someone who was eager to tackle the next challenge and change the world to being someone afraid that there was no more to offer. No more opportunity, no more chances, it was time to sit down and wait for the end.
These emotions, thoughts and feelings are not unusual. According to the American Heart Association it takes anywhere from 2 to 6 months for a person who has experienced a “hard cardiac event” to come to grips with what has happened. My mood improves each day – occasional panic attacks aside. I’m sleeping through the nights now. But, I’m still “hyper aware” of each little pang and twinge.
And aware that my life has, and has to, change.
Diet – which I have always been trying to improve – is not literally a matter of life and death for me. And I still have trouble sticking to it! Do you know how much sodium is in like everything?
Roller coasters – a passion for me – are now something I probably should avoid (sadly, at first my cardiologist thought they’d be okay. But on re-thinking and researching a little more she decided that I probably shouldn’t open myself up to “potential exposure” of a different type of cardiac event).
Probably should find a travel buddy for long hikes in the woods. Which, to be fair, is always a good idea anyway.
No more heavy weight lifting. In or out of the gym.
And, I’m undergoing more tests. Do I really have asthma as one doctor once thought? I’m a heavy snorer (so I’ve been told), better check for sleep apnea. Maybe my Crohn’s treatment is part of the issue. Time to re-evaluate my medication.
But, I do have a new perspective on life. At some time or another we all must come face to face with our mortality. Once we do we have two choices: 1) give up and wait for the end or 2) embrace each day as a gift and work to make the world a better place than we found it. I’m choosing option 2.
Filters are off – or at least subdued – no more polite agreement on political and moral issues. I don’t need to be rude, but I’ll stand my ground more. I’ll smile more, I’ll say hello more, I’ll…well, you get the idea.
In the time honored tradition of setting resolutions (aka goals) for the New Year, I’ve reviewed my fitness goals from 2017 and made some adjustments for the new knowledge regarding my heart health (see my earlier post here regarding details if you’re curious). In the interest of keeping myself accountable, here they are:
1. Fast food no more than once a week. Obviously heart health is now, and probably should always have been, my number one concern. Crohn’s is second. Mediterranean is my mantra for the year and means less reliance on “convenience” and more self sufficient eating and disciplined meal prep. Both of my major health conditions – and probably others I’m not fully aware of – will benefit by putting an emphasis on vegetables and fish in my diet. I’ve already started to make the adjustments and am actually looking forward to a more varied diet.
2. Increase cardio. Back to 10,000 steps everyday – minimum. Even if it means walking around the living room at night. I know that 10,000 is just a number, but it is a sign that I’m moving through the day. Pending approval from my cardiologist, I’ll be spending more time on treadmills and bikes this winter and still looking forward to running the occasional 5K.
3. Goal bodyfat percentage of 15%. I can’t sugar coat it. I’m fat and not getting thinner. It doesn’t matter how much muscle I have if it’s hampered by just carrying my own extra bulk. 15% seems to be a good ideal for a man in his late fifties. I may never actually see my abs, but I plan to at least feel them!
4. Keep strength up – 250 for 10 reps on bench. Again, pending my cardiologists approval as it’s possible that heavy lifting might be off the table for me. Of course, if I’m strong enough 250 won’t seem like heavy lifting, will it?
5. Put size back on the bis. Hey, I have to have at least on vanity goal, right? With the lower bodyfat my historic goal of 18 inches may not be possible (maybe with a pump). But if I don’t lose size my arms might at least look like 18 inchers if they’re lean enough.
These are written down and in my wallet as a reminder to me everyday.
I hope you all have a happy, healthy, and productive 2018.
A busy month for me as it turns out that was pretty good all in all despite getting back some iffy blood tests from my doctor on Monday. Nothing terribly serious, but we’ve got a couple things to watch regarding my liver enzymes as they spiked which is an indication of liver damage which is one of the side effects from my medication. So far no word on an ultra-sound to check things out, so I’ll follow-up. The numbers aren’t very high above the normal range. Everything else was pretty good though except for my iron and vitamin D levels. So back to the supplements. Ugh.
Crohn’s Update: In addition to the above, I’m actually feeling pretty good these days. I have energy it seems – which may be in part to the iron, vitamin B and other supplements. But I’m not complaining. Still not “normal” by most people’s standards, especially in the bathroom if you get my drift, but pretty darn close I think (i.e. no accidents or emergencies in a long time). Met with my new gastroenterologist and like her a lot. Very good doctor/patient rapport and she did her homework on my case before coming seeing me!
Workouts: I got all my weight workouts in despite a tough rehearsal schedule for the show I’m in (It Came from Mars at the Toledo Rep). This included two on Thursday, one before rehearsal in the gym (shoulders and back) and one after rehearsal with my brother-in-law (chest). In the past week I’ve been feeling particularly good. I’m waking up better in the morning and getting my daily push-ups (up to 30 per set) and concentration curls (gotta build that biceps peak) each morning.
Results are coming with my weight training, though slower than I’d like (naturally). My arms – the left one at least – are back over 16 inches cold and I think look a lot better (more defined – they are also harder it seems). Probably more importantly, I’m getting more reps in per set with my bench and increasing weight in other lifts. Not at my strongest yet, but not bad for an old man (8 reps at 225 for three sets currently). The goal is still 25 continuous reps at 225. Getting there slowly – thought my brother-in-law and training partner is getting stronger by the workout lately.
Speaking of who, he unintentionally provided some big motivation this week. During our Sunday workout it was pretty obvious that he had his “swole” on – as in his short sleeve shirt was stretched to its max. Turns out he’s gone through a recent growth spurt sometime in the last three months, if not in the last couple weeks, especially in his arms and chest. He now leads our “arms race” by a little more than an inch and is still growing. It’s a mystery to me why after several months of essentially the same workout he grew, though I’ve read somewhere that muscle growth occurs in spurts and isn’t a straight line gain kind of thing. He thinks it’s just from being consistent which is true as we’ve rarely missed a workout in the past year or so, I think maybe he adjusted his diet somehow or perhaps unbeknownst to us he was “belted by gamma rays*” though he isn’t turning green. However, instead of being jealous (okay, maybe a little) as I may have been when we were younger, I’m finding myself motivated to hit it harder in the gym and other workouts to catch up. Or at the very least, not fall farther behind. So even though we shouldn’t judge or compare ourselves to others, a little competition between friends is a great motivator it seems.
Cardio: thanks to my sister, I’m really stepping up my step game (pun intended). She’s been pushing a weekly “workweek hustle” on Fitbit and gotten several others to join in. I used to think I walked a lot during the day but now, whew! I’m also working harder to keep up with her.
Discovered a new cardio device at the College gym called “Jacob’s Ladder” (here’s their website – I’m not reimbursed for this endorsement btw) If you haven’t used one of the things and have the opportunity to do so – DO IT! One of the toughest cardio workouts I’ve ever had and it also works the arms and legs at the same time.
Nutrition: I met my protein goals most days this week, thanks to Muscle Milk and protein bars (again, not an endorsement – research all supplements before using). I’m surprised at how difficult this is. Especially without increasing fats, which unfortunately, I have not mastered. However, I have cut down on my carbs including simple sugars considerably. Turns out you can live quite well without french fries. Who knew?
Other Cool Things this Month: got an unexpected and random compliment on my triceps; had a pleasant conversation with a cashier about Fitbits – the young ladies really like the leather band it seems 😉; and had another good conversation about working out in general late in the week with another friend.
All in all a surprisingly motivating week.
*obscure reference to lyrics from a Marvel cartoon show in the 1960s. Bonus points if you know which one and just saying “Hulk” doesn’t count.
More bonus points if you know where the featured image is from.
I know it’s really September now but I thought I’d add a brief update on my activity in August for those interested (and those who aren’t, I guess).
Nutrition and Weight: Slow and steady seems to be the pattern. I had a couple weeks of no loss, but overall the trend is still downward. The problem is I’m really holding steady for the most part and can’t seem to shake the weight I gained several months back – the penalty of not paying attention to my nutrition for a week. I’m doing better now keeping my carbs under control but am still eating too many fats I think and not enough protein. However, though I’m not lighter, I believe that I’m becoming more defined in my arms, chest and shoulders (thanks to the exercise, more on that below). Always a good sign.
The never ending battle continues.
Exercise: Doing well here. I’m keeping to my weight workouts twice a week – though I need to increase the number of exercises I do I think and add more (i.e. any) leg work. I had an experience climbing a lot of stairs this weekend and it wasn’t pretty. Cardio needs to be increased again, too. This has been put on the back burner as I got my Plantar Fasciitis under control. Foot still hurts but with my shoe inserts it’s bearable. Got nearly 40,000 steps in this weekend already though. So that’s good.
I’m back to morning push-ups (30 now) and some light weight work to help me wake up and start the day energized. And I think this is having a positive effect on my overall physique as I mentioned above. Need to shrink the gut though. Always need to do that. Always…sigh.
Overall: Crohn’s is under control for the most part (maybe three days this past month of bloating and other issues), according to my doctor my blood pressure is good, my heart rate is good, so that’s all good news.
It’s been far too long since my last blog in February when I discovered that I was suffering from DVT (Deep Vein Thrombosis). The good news is that this issue seems to have cleared up completely – at least that’s the news I expect at my check up next month. My afflicted leg is no longer swollen beyond recognition and doesn’t ache more than the other one. Well, except for a tightness with my “IT Band” (Iliotibial band) which runs from the hip to the shin. This seems to coincide with a flare up of my plantar fasciitis (foot pain) in the other leg so I’ve put my orthotic inserts and bought new shoes. This, along with taking a break from extended walking/running, seems to be helping.
Speaking of running, I once again participated in The Rose Run in Petersburg, MI (my hometown) a 5K to support cancer research – which is also held in Los Angeles in October as well! Anyway, I set the goal of beating my time from last year and I did it! Only by a few seconds, but I was faster than last year. Remarkable because I made many mistakes including: 1) I didn’t train properly or at all and 2) I probably shouldn’t have run given the above mentioned injuries. But, I did it with the encouragement of my niece, who ran with me, and sheer stubbornness.
In Crohn’s news, I have moved to weekly injections of Humira. My doctor felt that my disease was progressing still with the DVT being a symptom of that and that we needed to up the dosage. I think it’s working and have had only one significant flare up since going to the new weekly regimen. Though I keep calling my case “moderate” my gastroenteroligist says I actually have quite a bit of damage regardless of how I feel about it. I think he’s always suprised that I seem to be able to maintain and even gain weight. Again, stubbornness I suppose.
In other news:
Nutrition: Still experimenting with macros and seem to have finally figured out what works best for me as I’ve been losing weight consistently for a few weeks now. Lower carbs, higher protein are working now. Still getting too many fats according to my tracking through MyFitnessPal but I’ll get there. If I can keep avoiding the drive-thru I can better control this.
Workouts: These have been going okay, nothing spectacular. Still kind of looking for the next challenge. I’ve done planking, push-ups, an “arms race” where I competed against a few other guys to see who could put the most size on their arms in a set amount of time (it wasn’t me), my 5Ks, and wall sitting. What’s next? I’ll let you know.
Attitude: Overall, still positive. I do find myself reminding myself of all my blessings more these days – probably middle-age malaise or my general disgust with the state of politics in the USA these days (no politics, stay calm…must control blood pressure).
Those of you who have read my other blog posts know that I have a digestive disorder called Crohn’s. Though my case is well controlled and I’m responding very well to my current treatment (Humira) I’m always at risk of other complications. Well, one of those complications occurred this week and it wasn’t even one I was aware of: Deep Vein Thrombosis (DVT).
DVT is a potentially serious and life threatening condition where, in the simplest terms, a blood clot forms in a vein (usually the leg) and blocks the blood flow. The result is pain and swelling of the limb – yes it hurts. In about 1 in 9 cases, if I’m reading the stats right, the clot will dislocate and move to the lung causing a blockage in the lungs (a pulmonary embolism or PE) and resulting in death. Scary stuff! And it turns out that having an inflammatory bowel disease – like Crohn’s or Ulcerative Colitis – is a risk factor. Other risk factors are sitting still in one position too long (as in on a jet), a hereditary blood disorder known as “Factor V” which causes blood clots, injury, and others.
The good news is that we caught mine early, I’m on treatment (blood thinners) and there’s a good chance that I’ll get over this without any ill effects whatsoever (there’s also a chance I’ll have post thrombotic syndrome, aka PST, a couple years down the road, but I’ll cross that bridge if I come to it). Only time will tell and it may be as long as 6 months before I’m completely out of the woods.
There’s a lot of information on DVT on the web. Sites I used to gather my information and stats are:
I urge you to check out the facts for yourself and watch for the warning signs. If you have a leg cramp or strain in your leg that won’t go away, notice swelling, get checked soon. I thought my leg pain was just from lifting a heavy object the wrong way and waited almost a week before deciding that something was wrong. If I had been aware of the warning signs I could have started treatment that much earlier (that’s the warning).
In other personal fitness news:
Workouts: mine have been pretty blah since the New Year. Most people get geared up and motivated but for some reason I didn’t. I’m back on track with my weight training again – only upper body for now due to the DVT (and with my doctor’s permission). However walking and running is out of the question until the swelling and pain in my leg start to subside. I did get some good hiking in on a recent trip to Las Vegas and Death Valley recently though before the DVT hit.
Fitness and Nutrition: for whatever reason even with my exercise curtailed and my diet being, shall we say, lax my body fat seems to be decreasing even though my body weight is going up slightly each week. Could be a broken scale, could be that I’m doing something right and perhaps that my low carb, high fat strategy is more effective than I thought.
Well, as always the only direction to go is forward. So I’ll keep on keeping on.
P.S. and for those who are not faint of heart, below is a picture of my good leg and afflicted leg side by side.