Five months ago, I spent my Thanksgiving looking out the window from Good Samaritan Hospital while being treated for congestive heart failure. While this date may not be the traditional six months/half a year mark, I figured I ought to fill a few people in on what's been going on in my (non-MMO) life.*
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| Good ol' Ozzy. Still the Prince of Darkness (since 1979). |
- My heart hasn't killed me yet.
I mean, well... duh. I'm still here.
I haven't exactly been raising hell or anything like Mr. Osbourne has, but after my little "adventure" my heart has settled back into it's typical non-existence.
Last week I had an echo cardiogram as a follow up from my hospital stay, and the cardiologist was extremely pleased with the results. My heart, she informed me, is back to pumping at its proper capacity. There is a slight leak in one of the valves, but that is not a new event so she isn't concerned about it. That leak is more of a matter of "It might have always been there, so we'll just keep an eye on it and go from there."
The way forward for me is to maintain my current drug cocktail and then after a six month follow up scheduled for October we might begin to wean myself off of some of the drugs. The cost isn't that problematic (yet), because my highest drug costs come from monitoring my diabetes as opposed to everything else. - I have more energy now than I did for most of 2021.
This has taken some getting used to, because I wasn't expecting this.
Yeah, my hospital stay had flushed out a lot of built up fluid from my congestive heart failure, so you'd think that on the face of it I'd have some improvement in my energy levels, but I didn't expect it to be quite like this. Part of the additional energy likely comes from managing my diet, because my blood glucose and blood pressure were definitely not in a safe zone, but I also think that there's more to it than that. I also believe that there's a direct impact from... - I've taken some steps toward getting back in shape.
I'm not about to tell you that I've gone crazy or anything, because I've seen the Peloton memes. And thankfully I've not been bombarded by people trying to tell me how great spin classes and Peloton are, because even if I were interested in trying it out --I'm not-- the fervor of the True Believers is closer to what you'd see out of Twilight's Hammer than anything else.
Yeah, this.
Regardless, my reality consisted of two problems: my muscles atrophied during the course of my congestive heart failure in 2021, and I was in bad enough shape that I couldn't even put the outdoor Christmas decorations back on the shelf there they reside. I knew I had a long road to go to get this fixed.
So I began walking.
A view from Cincinnati Nature Center
in early February.
And walking.
The pavilion seen through the trees at
Ault Park.
Until my knee --the one I'd injured back in 2020-- said "Fuck you!" and refused to behave.
So while my knee has been recuperating, I began to lift weights. Not anything nutty, to be sure, but just some barbells to try to get some muscle back in my arms and shoulders. For people who haven't lifted weights before, one of the oddball things about exercising this way is that muscle weighs more than fat, so when you initially begin lifting, you actually gain a few pounds. That's because you're converting some fat to muscle, so it's quite common to see an initial bump in your weight before you start losing pounds.
Well, I didn't have a bump in weight, but I didn't lose weight either. So I was a bit confused about all this until I spoke with the Diabetes team about it on a recent check-up, and they went through my diet and found quite a few hidden calories that I could cut out and maintain my current low-carb + low-salt diet. It's one of those scenarios where playing it smart adds up to some real results in the long run.
But despite my not "losing weight", I have lost volume. I can now fit into clothes I was unable to back in 2021, and I've actually had to buy jeans two sizes smaller than where I was in 2021. To be fair, those jeans are starting to look large on me as well, so I get the feeling that I'll be getting these jeans replaced in a month or two.
So at least there's that. - Dealing with a low salt diet is MUCH harder than dealing with a low carb diet.
No, I'm not talking about the prevalence of Atkins and Keto dietary stuff lying around helping out, because those diets deal with things such as "net carbs". As a T2 Diabetic, I can't play around with numbers like that; I have to have a laser focus on total carbs, whether I like it or not. My current target is 60 grams of carbs per meal. No 'ifs', 'ands', or 'buts'. I can't trade carbs between meals like you can with total caloric intake, either. When a nutritionist visited me at the hospital on my first day there, she drew a circle on the paperwork in front of me.
"This," she said, "is a plate of food for a meal. You have 60 grams of carbs to work with."
She then portioned off 1/4 of the plate. "This is for meats and other proteins. Aim for about 15 grams of carbs from this section."
Another 1/4 of the plate was portioned off. "This is for root or starchy vegetables. Aim for about 15 grams of carbs from these."
Finally she circled the half of the plate that remained. "And this," she said with a tone of finality, "is for leafy greens. You can eat as many of those as you want. If you want to add something such as a roll or a slice of bread, fine, but you can't go over 60 grams total. And be wary of things such as salad dressings and other items in salads, because they'll add up fast."
But I've discovered that handling 60 grams of carbs per meal is actually fairly easy when compared to a low salt diet.
Things like this chart above show how hard it is to find truly low sodium options in a world where salt is freaking everywhere. For this example, I'm lucky in that I can find "no salt added" tomato sauce that I can work with and season the way that I prefer, but for many other items you simply can't avoid salt unless you have to take the bull by the horns and make it yourself.
Once you've figured out how to manage a truly low salt diet, then you discover just how salty everything tastes. Much to my chagrin, a low salt diet has truly become a double edged sword. - I keep hearing how great I'm doing, but I certainly don't feel like I'm doing anything special.
Okay, so this is gonna sound a lot like me discussing MMOs and whatnot, but I've had this conversation with both the Diabetes team and my cardiologist, who have all assured me that I'm doing very well.
"But I'm doing what is being asked of me, and I haven't exactly been hitting my salt targets that well. It certainly doesn't feel like I'm doing a lot."
"You have to understand," one of the Diabetes team members told me, "you doing just that means you're ahead of a lot of people who have Type 2 diabetes."
"But--"
"When just getting people to admit they have to change their diet is a chore, what you're doing is fantastic. You've never complained or bitched; you just went and did it. So just keep doing what you're doing, and you'll be fine."
"Oookay...." - I'm really lucky in that I've got a good team in my corner.
I simply can't sing the praises of the Diabetes Team loudly enough. The same goes for my cardiologist, whom I simply adore. I completely trust their judgement, and I've hopefully had it reciprocated by my trying to follow their instructions to the letter. That's not to say that there haven't been complications --there have been, and I'm not prepared to talk about those right now-- but they're a very good team and I know I'm in good hands.
I think the biggest take away that I have had over the past 5 months has been that this is a process. I'm not going to "solve" my health issues in a simple one-off solution. I could wake up tomorrow and discover I've become allergic to one of the medications I take, or that I could have a stroke while goofing around on WoW. None of this is easy, but in the end I hope to be kicking around here a bit longer.
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| Can't get rid of me yet.... From magicalquote.com. |
*My life has, overall, taken a turn for the better by keeping my Facebook usage to an absolute minimum once the pandemic began. I think it says a lot about the state of Facebook when Reddit gives me less stress.














