(This post was originally begun on September 17.)
So, okay, an update.
Last time I wrote about the medical stuff, I was still in the process of seeing specialists. I have now seen the allergist and the podiatrist, and one one of those fronts I’ve had some success.
That was the podiatrist. Actually, I’ve seen the podiatrist twice, and the first prescription anti-inflammatory did not help. Neither did the insoles. At the second visit, the podiatrist gave me a prescription for a stronger NSAID and asked if I wanted a cortisone shot. “Or would you like to treat your plantar fasciitis more aggressively?” she asked.
“Oh, yes, please, let’s be aggressive,” I said. “I’ve had it three years. I need some relief, and I want to be able to walk so I can lose some weight.” So she sent me to physical therapy. (Lord knows that should’ve been done at least a year ago, if not sooner. Should’ve been done at least in June.)
The PTs have asked me to continue the stretches I was doing, and gave me another couple to try. They’ve also done ASTYM on me, twice, and I have to think that’s helping a great deal. My heel feels a lot better. I’m not pain-free, but at least I can walk about 7000 steps without being crippled the next day. I’m hoping that over the next few weeks of treatment, my heel pain will lessen more.
The allergist did not test me for allergy to the Essure device or its components, largely because he did not have those tests in-house at the time, but also partly because they’re expensive and partly because he thought there was something else going on. He did order some blood work on me; it turned out to indicate that I do not have systemic inflammation going on. So that’s a dead end for Essure removal. He suggested I see a dermatologist for the rash on my arms. (It’s not that bad. I’m used to it now, used to the scars.)
As for the diet, well, I’m starting to get frustrated with it. I am tracking everything I eat. I am exercising regularly, 5 days a week, usually about 35 minutes a day, and keeping my caloric intake about 1000 calories under what I expend (based on Fitbit’s estimate). I’m drinking about 80 ounces of water a day and have stopped drinking the one diet soda a day I had been allowing myself. This should have led to about a two-pound loss every week. However, I haven’t lost any more weight at all. It occurs to me that this is the point where I got frustrated with South Beach Diet last time, too — when I had lost 18 pounds and the scale refused to budge any further over a month’s time. GAH.
I have to persevere anyway, because I have to get healthy. I have to.
A lot of dieters swear by weighing once weekly, or weighing not at all and only gauging success by the fit of clothes. I have found in the past, however, that if I skip weighing every day, my brain tends to go straight to thinking, “Oh, we’re not dieting. Go ahead and eat the banana bread.” So I weigh once a day, in the morning after I’ve peed and before I’ve eaten anything. And I’m generally pretty patient with fluctuations… it’s just that I haven’t seen any loss since Sept. 8 (and I’m back up 2 pounds since then, pretty consistently). It’s so frustrating.
I begin to wonder if the NSAID I am taking for my plantar fasciitis is making the scale not move. Hmm.
In other news, though: I had been having a great deal of acne, almost more than I’d had as a teenager. That’s abated, and my face is clearer than it’s ever been since I was, oh, twelve. Low-sugar diet? Maybe. Perimenopause? Maybe that, too.
And now I have a few fun outfits to exercise in, too. This is good.
Updated update, October 1.
My sleep study showed no sleep apnea or diminished oxygen during sleep, so I think we can rule that out as a cause of fatigue.
I’ve now had a full month of physical therapy, from ASTYM to stretching and icing, and can report that my heel pain is maybe 20% of the level it was in May. This is an enormous relief. I’m not completely pain-free, and might never be completely pain-free due to that heel spur, but I plan to continue for another week or two, to try to reach toward zero pain. I’m consistently walking at least 7000 steps a day, and more often 7500 or 8000, which was just unthinkably painful back in May.
I have lost all of two pounds since September 17th. This is frustrating.
Before you ask: Yes, I’m drinking enough water (at least 100 oz., sometimes more). Yes, I’m eating enough healthy food (5 cups of veggies a day, lean protein, one serving whole grain, one serving fruit, limited fats). Yes, I’m exercising 5 times a week (deep water aerobics, walking, low-impact HIIT videos). Yes, I’m logging everything I eat (including those three pecan halves I ate after dinner this evening). Yes, I’m still eating approximately 1000 calories less than I burn every day (which should lead to a two-pound loss every week). Still, no movement on the scale or in my clothes. I may need to exercise 45 minutes/day instead of 30. Gah.
I know a number of people who’ve had success on the ketogenic diet. I might not be able to sustain that diet for very long — it seems crazy, what with the extremely low carb limits — but I wonder if I should try it, just for a jump-start? I don’t think two weeks of it would kill me.
The allergist wants me to come back to do some specific allergen tests soon. I see the endocrinologist next week.