Monday, February 25, 2013

Good News, Bad News

The past few days have been filled with highs and lows, ups and downs, good and bad.

I was headed to Dallas to spend three days at a Junior League national training conference, called the Organizational Development Institute.

Good news: I squeezed in a workout before I left for the airport, and hit no traffic during the entire 90-minute drive.
Bad news: I was really early to the airport, and while on the shuttle from the parking garage, I learned my flight was delayed 90 minutes, so now I am really early.

Good news: I found a place in the airport to get food, charge my electronics, and order a 9-ounce glass of wine to kill time.
Bad news: That 9-ounce glass of wine cost me $16 and someone decided to turn on the AC.

Good news: After three hours of delays, we finally boarded the plane.
Bad news: The pilot came on the loudspeaker to tell us the storms in the Midwest and the headwinds were working against us. What is normally a four-hour flight was going to take five or longer.

Good news: The movies on the flight were free instead of $5, and there was actually one I hadn't seen yet (Chasing Mavericks).
Bad news: I couldn't sleep at all. Or read. The turbulence was way too rough for either.

Good news: Even though I arrived much later than planned, my good friend from grad school - Christina - still met me for dinner at my hotel.
Bad news: She had to sit in the hotel lobby and wait two full hours for me to get there.

Good news: I got a room on the top floor - club status, baby!
Bad news: My bed had a divot from multiple bodies laying (hopefully alive) in the same place where I like to sleep. My sink continuously dripped, and my toilet never stopped running because there was a leak in the tank.

Good news: Room service was the same price as the buffet breakfast downstairs, so I ordered room service for the first time in my life!
Bad news: They forgot my potatoes and toast, and gave me cream when I asked for skim milk.
Good news: They sent someone up with my potatoes and toast. I had milk in my fridge that I brought from home (relax, it's shelf-stable).
Bad news: They forgot butter for the toast.

Good news: Breakfast the following day was included in the conference.
Bad news: "Breakfast" meant fruit, pastries, coffee, and juice. No protein in sight.

Good news: We got morning and afternoon refreshment breaks throughout the conference.
Bad news: The "refreshments" were coffee and tea.

Good news: My flight home was far less eventful with no delays.
Bad news: We had to circle Logan for almost an hour because of the snow in Boston.

Good news: My suitcase was one of the first onto the baggage claim and the shuttle to the parking lot came quickly.
Bad news: I had to clear several inches of icy snow off my car since I parked on the top level of the garage.

Good news: There was no traffic on the roads from Boston to Woburn (I stayed with Julia since it was late).
Bad news: the backroads were so bad that I spun out and nearly missed a stone wall, and then continued to slide down a hill sideways.
Good news: I avoided the wall (by about 3 inches) and no one was coming as I slide into what would have been oncoming traffic.

Good news: I drank many glasses of wine over the course of my trip, ate every meal in a restaurant, and never worked out (except walking around) and still managed to lose a few ounces.
Bad news: I had to stop my workout DVD after 20 minutes today. I was so winded and my fascia were on fire.

Bad news: I didn't get to see much of Dallas except for my hotel (Sheraton North) and the Galleria/Westin.
Good news: I did manage to cross something off my bucket list - dancing with a cowboy at a honky tonk in Texas! Several cowboys! Hot cowboys!

Bad news: We cried a lot this weekend. Some parts were really raw and emotional, and the girls from Ft. Myers and I shared a lot we may not have otherwise.
Good news: The girls from Ft. Myers and I bonded so much. I learned something about each of them that I didn't know before, and probably never would have had we not been far from home with only each other. I made some great new friends, learned a ton, and can't wait to visit Dallas again. And Ft. Myers!

Saturday, February 16, 2013

Seriously Thyroid?

I had my annual physical yesterday. I actually didn't have one in 2012 because I got a job in Massachusetts and moved much earlier than I originally planned, and then when I got here, I had to go a month without insurance. Then I was trying to play catchup with my specialists and just completely forgot to get a physical.

First things first, I'm hypothyroid...again! My TSH is back up to 6. So we have to increase my Synthroid. Shocking. This may explain why I lost 7lbs in my first week of Jillian Michaels Body Revolution but haven't lost an ounce since then.

Secondly, my cholesterol is still through the roof. When I was diagnosed with Graves' disease, I spent a few days in the hospital. They ran every test under the sun, including a lipids panel. My total cholesterol was around 150. One year later, after being on propylthiouracil (PTU - an antithyroid drug) and propranolol (a beta blocker to lower my heart rate) for 12 months, my total cholesterol had doubled to 294. My physician assured me this was because of the beta blocker, since I was eating relatively healthy and had just started exercising again once my heart recovered from the initial thyroid storm. He told me not to worry about it, and my endocrinologist echoed that sentiment.

As of this week, my total cholesterol went up even further to 301. What?! This makes no sense. I spent the entire summer riding my bike every day and going to yoga, spent the fall eating like a bird because I was recovering from surgery and couldn't exercise much, and have spent the winter thus far exercising like a mad woman and eating insanely clean, staying at a strict calorie limit and not eating back calories burned. I have not once gone over the recommended 300mg of cholesterol per day, and rarely come even close to that. My mom's side of the family all has high cholesterol, but a lot of them are overweight and never exercise, so I'm not willing to blame it on genetics because I do exercise and I am getting my weight under control, slowly but surely.

The breakdown is:
Triglycerides 130 normal
HDL (good cholesterol) 72.5 high - which is good!
LDL (bad cholesterol) 202 very high - which is very bad!

The fact that my triglycerides are normal is suspect to me. My new/old (2003-2007, and 2012-present) physician wants me to cut my beta blocker dose in half. I have been asking to ween off this drug for a year but neither my endocrinologist nor my cardiologist were willing to help me do this since my resting heart rate was still pretty high. She says she has never seen such high cholesterol in a healthy, active 28-year-old. Gee, that makes me feel awesome. My brother nailed it on the head when he said, "That must be disheartening. You've been working so hard and eating well." No s&*%. Ugh.

We'll be repeating both the thyroid tests and lipid panel in eight weeks. I am on a strict low cholesterol diet until then (even though I was already watching my cholesterol intake) and am going to do as much as I can to get that LDL down - adding ground flaxseed to every meal possible including the oatmeal I already eat every morning with my breakfast, using only olive oil instead of butter, not making baking any sweets I might be tempted to eat, and keeping up with my six-day-a-week exercise program. Lent couldn't have come at a better time because fish and nuts help lower LDL and I've added a lot more of that to my diet to make up for the meat and poultry I've given up until Easter. All of these changes plus cutting my propranolol dose in half had better help or else I'm going to end up going on a statin at the ripe old age of 28.

Basically, all of my health problems right now can be attributed to Graves' disease. I wouldn't be overweight from six months on prednisone and constantly fluctuating hormone levels, I wouldn't have needed eye surgery for thyroid eye disease, I wouldn't have shin splints likely caused by being overweight, and I wouldn't have high cholesterol caused by a drug I need to keep my heart safe.

Because I was feeling so sorry for myself after getting my results, I went straight to the McDonald's drive-thru and got myself a shamrock shake. And since I had my last tetanus shot in 1998 and was long overdue, I had to get my Tdap yesterday, which kicked my butt. I spent the entire evening in bed watching TV because I felt so emotionally dejected, physically rundown, and my arm hurt like a motherf&$%#@. It still does, but I already did my workout for the day and survived.

Onward.

Thursday, February 14, 2013

Face It, You're not a Runner...Yet

When I tried to become a runner over the summer, it ended poorly. After a few attempts, I was in excruciating pain with shin splints so bad that it hurt to walk around my office in flats for weeks afterward. So I gave up.

This winter - of all times - I decided to try again. I started slowly and actually used the 5K Runner app on my iPhone. I tried a few apps, but this one gives you audible cues even when your screen is locked, which many others didn't do. However, after the few few days, my shins were on fire again and I had to take an entire week off. I started up again, and ran through the pain, but knew something wasn't right.

It wasn't your typical shin pain. It was actually the insides of my shins on both legs. It hurt for 24+ hours after running, and flared back up whenever I did the cardio days of Jillian Michaels Body Revolution.

So I called up my old orthopedic surgeon who performed my knee surgery back in 2005, and he agreed to see me even though he is semi-retired and no longer operates. The first thing he did was order X-rays of my legs. Fortunately, no stress fractures. However, he said it was definitely shin splints and recommended 600mg of ibuprofen three times a day and physical therapy. Well, remember kids, I am prone to ulcers. I had one as recently as spring 2011 and had to stop taking all NSAIDs for six months. When I forgot and took them for my severe thyroid eye disease pain, my stomach burned for a week - hello again, ulcer! So, I decided I won't be taking 1,800mg of ibuprofen every day. I instead take 400mg when I really need it after running.

I did agree to physical therapy, even though that seemed a little silly for some shin splints. Boy, was I wrong.

I went to my first appointment Monday night, dressed like I was going to the gym. I am no stranger to PT, but it has been about eight years since I last went, and that was for knee surgery rehab. Shin splint PT is a whole other beast. I know all about deep tissue "massage" and how unpleasant it is, but I was not aware of the Graston technique until last night. Let's just call it torture, shall we?

Backing up, the physical therapist first asked me about my symptoms. She looked at my arches and gait, and determined that I have low arches and am nearly flat-footed. She recommended I get orthotics for my running shoes and cross trainers, and interestingly enough, it is the same orthotic I was planning on buying anyway. She told me she was going to do the deep tissue massage, and I knew that wasn't going to be fun. But then she brought over these metal tools that reminded me of the mixing blade on my stand mixer and a barber's blade, and I was suddenly very afraid. She explained these Graston tools help break up scar tissue and increase blood flow. She also explained that one's shins should be smooth under the skin. For as long as I can remember, mine have been bumpy. But since I was a competitive cheerleader and never a runner, I never realized how damaged my shins actually were. I laid there biting my sleeve and practicing lamaze breathing while she worked on each shin for several minutes. The pain was unreal, but as soon as she finished, she had me stand. I felt immediate relief - a feeling I haven't had in months.

She also told me that the cause of my shin splints is twofold: weak lower legs (calves, ankles) and my low arches. The orthotics will help my arches while stretching and strengthening my calves will help my lower legs. My ankles are permanently shot from spraining both multiple times, breaking the right once, and tearing all the ligaments in the left once. They basically flop in ways any joint should not. So we have to focus on strengthening my calves, which used to be my favorite muscle to show off. I remember going to a dance my junior year and having my date and all his friends ask me to show my calves. I could rise up on my toes and this huge muscle would shoot out my otherwise skinny legs. It was impressive and intimating, but now my calves are just fat. So fat I can't wear boots higher than my ankles, and that bums me out. So hopefully these new stretches combined with my diet and exercise will help my shins and my ability to wear cute boots!

After the torture and stretching, she iced me down for about 15 minutes. That felt OK, but my ankles really started to hurt from being at a 90-degree angle when they normally relax at about 170 degrees (gross, I know). Picture a gymnast's feet during her routine - her ankles are about 180 degrees. Now picture her standing on the medal podium - her ankles are at 90 degrees. My ankles naturally fall to 170 degrees or so on their own because they are so damaged, and probably trained from years of pointing my toes. So when they are forced to 90 degrees, they fight back. They still hurt now.

Finally, she taped me using the same exact Kinesio tape I bought online, but had no idea how to apply. It is quite simple, actually. And I can wear the tape for a few days, even in the shower. And yes, I manipulated the colors in this photo because I'm ashamed of how pasty and white I am. But regardless, the tape helped so much throughout the day.

Before I left PT, she asked, "If I tell you to stop running, will you listen to me?" I agreed, but insisted on being allowed to continue my other workouts which include two cardio-only days and four days of either just strength or strength and cardio (depending on my mood and schedule). She OK'd this.

I went to the orthotics store on Tuesday to buy what I thought was going to be support for my low arches. However, I had a foot assessment done and I don't have low arches at all! I have medium-to-high arches! I thought so! The assessment showed that I put almost all of my weight in the balls of my feet, which stresses the fascia and thus causes shin pain. After walking around the store with the orthotics in my shoes, I forked over $70 only to later find out the same orthotics are available online for $50. Annoying.

My workout Tuesday was far less painful. It was a strength day, but my feet felt really good, and my shins were less sore than usual.

I went to physical therapy right after work on Wednesday. I had a different therapist, but we started with 15 minutes of heat, Graston (which hurt much worse than it did Monday, and also much worse on my right shin than the left), massage, and stretching. It took all of 35 minutes, which was nice. I got home and did my cardio workout. By "did" I mean "attempted." My feet were hating the orthotics. Tuesday involved very little jumping or running, but Wednesday was ALL jumping, running in place, and a few boxing moves. The program is only 24 minutes but it took me almost 40 because I had to keep stopping. My shins were sore but my feet were actually breaking inside my shoes - or so I thought. The orthotics have metatarsal support and my feet simply aren't used to that yet, so they revolted. Ow. I made sure to ice my fascia as well as my shins afterward, but I was limping by bedtime.

Fortunately, I woke up feeling fine. It's just an adjustment period. I'm about to head to the campus fitness center (free for employees) to do my C25K training on the treadmill since I promised not to run on pavement. If it hurts my shins, I will stop and switch to the bike or elliptical. And then when I get home, it's a strength day, so hopefully my feet and shins can recover.

I'm not a runner...yet. But I have big hopes of running a 5K this spring, so I'm doing what I've got to do to get there.

Tuesday, February 12, 2013

The 40-Day Vegetarian

I don't consider myself a practicing Catholic anymore. Religion just doesn't fit into my life, at least not right now. I do work for a Catholic school (where being Catholic or even Christian is not a requirement of course, that would be illegal), and I enjoy some of the traditions. Lent being one of them.

I have given up something for Lent for as long as I can remember. I'll never forget the year I gave up candy, sweets, chocolate, and ice cream. I was tiny back then, yet I still lost about 10lbs, which was actually disgusting to think about - losing 10lbs in only 40 days from cutting out sweets? Someone has a sweet tooth. Anyway, that was probably the hardest Lent give-up I've ever done. This year is likely to be harder.

I have decided to give up meat and poultry for Lent. I would never become a vegetarian for good. In fact, I don't think there's any one food group I would ever give up. I believe in everything in moderation. However, I'm trying really hard with food and exercise and not seeing the results I had hoped for yet, so I decided to give this a go.

So starting tomorrow - Wednesday, February 13 - I am abstaining from meat and poultry (beef, pork, and chicken are the only types of meat I eat). I am still going to eat seafood (fish and shellfish), but obviously that will get old if I eat too much of it, so I bought tons of beans, lentils, tofu, nuts, and vegetables over the weekend. Now I need recipes! Please share.

Note: If you're wondering why I am still eating seafood, the reasons are simple. First, I've giving up meat for Lent. For Catholics, who abstain from meat on Fridays during Lent, meat is defined as land animals only. Also, I am not confident enough in my cooking abilities yet to rely solely on legumes and tofu for protein - I feel like I would cave in and eat a cheeseburger if I couldn't have fish. Besides, the fish I eat is very healthy and rich in omega-3 fatty acids.

I had fasting lab work yesterday for my annual physical on Friday. I peed in a cup and had a few vials of blood taken, so I'm sure she'll be looking at my lipids (cholesterol & triglycerides), blood sugar, CBC, thyroid (duh, we know those numbers already), etc. Hopefully my cholesterol is good, but it skyrocketed after I started taking a beta blocker for my rapid heart rate caused by Graves'. I haven't had it checked in two years, so I'm anxious about the results. My diet for the last two months has been quite good, so hopefully that's offsetting the medication's effects. And hopefully I can start weaning off the medication as my exercise intensity increases and my resting heart rate drops.

Saturday, February 9, 2013

Snowmageddon 2013

Finally started accumulating around 10 p.m. after snowing for 12 hours.

You can see how hard it was snowing.

Sheer whiteout at 10 p.m.

Who's grillin' tonight?

 
A few minutes after the dogs came in from a walk.

 
Driveway at 7:30 a.m.

Driveway at 1:30 p.m.

25.5" of snow

That would be my kneecap in the snow. I had to change my pants immediately after this photo.

Friday, February 8, 2013

Busy Bee

What a week! Last Thursday, my best friend got engaged. I spent the next 48 hours eating and drinking like it was nobody's business. And planning and getting our nails done and doing what girls do. Fortunately, I only skipped one workout so I didn't completely fall off the wagon, but I didn't lose any weight last week either.

This week was much better. I still haven't lost any weight, but I did up my calories again - this time to 1,650 - and I know it takes a few days for your body to adjust. It basically stores them because it thinks you're going to nearly starve yourself again. Once it realizes it's getting 1,650 every day, it will let go of the reserves. Or this is how I understand it.

I saw my dietitian on Tuesday morning. She is pleased with my progress so far. I saw in her notes that my ideal weight is 100 pounds. Ha! I weighed about 105-110 pounds when I was ripped yet skinny in high school, and it would've been unrealistic for me to weigh any less without sacrificing muscle mass. So she's dreaming a little too big (or little) for me. She is a stick with no curves so it's easy for her to use BMI as a guideline when I have been told by all my doctors that BMI is good for general populations but not for individuals, especially ones who tend to be more muscular. Which is not me now, but will be when I reach my goal measurements and weight.

After the dietitian appointment, I went and saw my orthopedic surgeon - the one who performed my knee surgery a million years ago in 2005. He no longer operates (I think I noticed some tremors) but said he would be willing to evaluate my suspected shin splints. When I got there, the first thing they did was X-ray both legs in about 14 different positions and angles. Alas, no stress fractures. Just severe shin splints, so he prescribed three ibuprofen three times a day and physical therapy. I didn't know the dosage of ibuprofen until his medical assistant told me, and I don't know why I didn't speak up, but I will not be taking that much. That's how I ended up with an ulcer in 2011. And it hurt a LOT. So no thanks. However, I start physical therapy Monday evening, and he wants me to go twice a week for four weeks and then reassess. I'm hopeful they won't tell me I have to stop running, because I'm really starting to enjoy it for the first time in my life. I ran Wednesday night before my regularly scheduled session with Jillian Michaels, and it wasn't so bad (minus the cold).

It doesn't look bad yet, but believe me,
running in it a whole other thing!
I ran again this morning, but as soon as I put on my running shoes, the snow began. And it's not going to let up for another 24 hours or so. I'm glad I managed to squeeze in a run, but it was so blinding, cold, and slippery! I have a newfound respect for people who run year-round.

I also signed up for a 5K, but it wasn't until after I paid the $20 that I realized it's the same day I'm taking my mom to the American Cup in Worcester. The race starts at 10 a.m. and the meet starts at 11:30 a.m., 90 minutes away. So I can't run. Which is OK because there will be plenty of other 5K options this spring and summer, but I kinda want my $20 back. I think I'll just have to consider it a donation to the food bank.

My trip to Dallas is officially booked, and I leave two weeks from yesterday. I'll be there for three full days and three nights, and can't wait to meet other Junior Leaguers from around the country. And hopefully I'll have some time to catch up with a good friend from grad school who I haven't seen since we graduated, which is insane to think about!

Wednesday, February 6, 2013

How NOT to Find a Job

Once upon a time, I was in the University of Florida chapter of the American Marketing Association. First I was the promotions director, and then I was the historian/webmaster. During the latter role, I wanted to get some testimonials up on our website from AMA alumni who were using their marketing degrees, so I sent out a mass email via Facebook. Today, I was going through all my Facebook messages since Facebook is creepy and saves every last one, and found this gem.
  • Conversation started January 25, 2009
  • Me
    AMA Alumni
    Do you guys have any cool job info/pictures that we can put on the AMA Alumni page? Or know of anyone else that has recently graduating and is now working? Hope all is well!
    • February 3, 2009
    • Kim

      Sure Here's a Tip: If you have a marketing degree and don't want to live somewhere where it snows to your chin change majors Now! Corporate marketing and advertising like the kind of job in "What women want" are all of course in corporate headquearters which are mainly someplace northern or real far away.
      Other options: Retail, sales and management. It seems like as soon as you look for a job in marketing, a plethora of sales positions is the only meal on the platter. I Started out of college in retail. Hated stocking shelves with my 4 yr degree and landed a sweet job as a Marketing Coordinator for a Tampa software company called Actsoft. They did some restructurting ad deciding to eliminate marketing and made it only a graphic design team. Graphic design oh yeah, I tried to take courses in that at UF but noooo only GD majors can take it... same at Santa Fe tried there too.
      So, now I am a single mom (feature does not come standard in all UF degrees) unemployed, stuck in a lease in Tampa becasue I moved closer to my "sweet" job and am struggling to find a true MARKETING job that doesn't involve sales or retail.
      I do have some pics of our Halloweeen bash at Actsoft if you like I can e-mail them to you or I can send you a pic of me sitting on my couch to show you guys graduating this semester may deal with in today's economy. Think it won't happen to you?... I had a 3.9 GPA at UF and highly involved. I am a catch it's just really tough out there now. Trust me!
      • Me

        I'm really sorry to hear about your situation. I know you don't mean to take your anger out on me and I hope you can find peace soon. Thanks for your time.
        • February 4, 2009
        • Kim

          No, I am sorry. Don't feel that i was taking my anger out on you. Just wanted to paint a real life picture and very possible scenario. A little jaded right now but typically i am very optimistic and friendly. Let's start over... Hi I am kim  Former ama social and professional development director.
          • Me

            Hi Kim! I'm Kelly and I was promotions director and am now the historian and half of the webmaster. I am actually not a marketing student - I'm a pr grad student going into hospital pr (hopefully)! Everyone knows how scary going out into the working world in the current economy is and AMA is trying to give its members the best opportunities but also the most realistic possibilities. Hope all works out for you.

            What concerns me most is the fact that I was emailing at 12-something in the morning. I'm on my third REM cycle at 12-something these days!

            Anyway, case in point: being a cranky, bitter, downright rude b*tch will not help you in the job hunt. What if my dad was the CEO of the company she was trash-talking? What if I was a hiring manager and Miss Kim's resume ended up on my desk tomorrow? Clearly her current Facebook photo is of her wedding so I'm not too worry about the "single mom" part of her message.

            Also, I have ALWAYS been a snarky little witch. "I know you didn't mean to take your anger out on me" = "I was simply asking you and 50 other people a question, you psycho b*tch. I don't actually give two sh*ts about your life" and "I hope you can find peace soon" = "Calm the f*** down."