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I went to the doctor today. We did not do my annual female check up like I expected. However, based on the number of appointments I anticipate over the next few weeks, I’m sure she’ll have plenty of opportunity for that, too.

My doctor is a tough, no-nonsense Indian woman whose marriage was arranged, who has two school age sons, and who practices with her husband. She doesn’t spend time being diplomatic and she says exactly what she thinks. She often greets me by saying, “I see you still have 40 pounds to lose. What are you doing about this? How are you eating?” etc. And then we move into more sensitive topics, all of which she approaches with the same full steam ahead bracing fashion.

The visit was due to recent (negative) health changes: http://thread-walker.livejournal.com/27549.html

For more rambling and the eventual whining jag:

I really like her. I know she’s being honest with me and she isn’t afraid of tackling stuff or saying the hard stuff. I didn't know how to answer her blunt questions: Are you stressed? Are you depressed? and those sorts of questions.

My brain froze up in fear that she'd tell me to quit one of my beloved projects or tasks. So I told her I wasn't sure I could actually analyze myself honestly. (true!) I have moments of being overwhelmed and moments of stress, but I don't think of myself as being in a state of depression. (I didn't comment further on my state of stress ...)

So I sort of waggled my fingers and did my impression of "this is not the stressed or depressed patient you're looking for" routine. If we exhaust all the real medical sources for the sudden and instant exhaustion I get in the afternoon, we can always come back to this. By which time Spring Collegium should be done and Fall Collegium well on its way. yes, I recognize that I'm stalling, but I'm really good at compartmentalizing this sort of stuff and ignoring it.

After the exam/interview she gave me a list of things that are henceforth removed from my diet and she sent me off for blood work. We’re checking glucose and thyroid, among other things. Too bad the phlebotomist couldn’t get my vein on the first couple of tries. Ouch!

Officially removed from my diet (for now, at least) are stuff I love: potatos, white bread, white rice, pasta, all sweets, all chips, etc. In addition, she said carbs were to be reduced overall, so certain substitutions are okay, but she was vague about portion sizes. So wild rice is okay, but I'm guessing a meal of wild rice is probably not okay. And since I read some Weight Watchers literature a few years ago, I have had my eyes opened to what a portion is supposed to look like and it's usually smaller than what I or any restaurant would serve.

Since I'm someone that likes fresh vegetables and meats, I'll live, but I will miss French Bread, red wine and sweets. I have a lemon gelato in my fridge ready to go through the ice-cream maker, so it looks like I'll be doing this for the pleasure of everyone else.

My consolation is that I still have cheese.

Sigh. I will have to strategize when we go out. Maybe I can get in the habit of ordering antipastos and cheeses when everyone else is eating desserts. I know that some pasta places will serve their sauce and meats over al dente vegetables instead of pasta, so I'm not completely stuck. No, I won't shrivel up and blow away and I know some people who have to eat this way in order to hold back diabetes. But I'm giving up things that trigger a sense of pleasure that's almost physical and right now with all that damn stress I'm juggling, there isn't a lot of easy feel-good stuff I can turn to without burning up chunks of time. Food has been my haven. Until now.

I know I'm just whine, whine, whine. I'll get over it. But right now all I can think about is the food I’m not allowed to have, which means that what I’m craving this instance is food I'm not allowed to have. Like the super, duper brownies at the coffee shop across the street … or the brie and pesto sandwich at the coffee shop across the street ... or the kit-kat in the vending machine in the building next door ...

Feh! whine, whine, whine. pout, pout, pout. I just need to lump it and get over it.

Date: 2005-04-19 09:48 pm (UTC)
From: [identity profile] beanolc.livejournal.com
Holy mackerel, 40 pounds?

*wanders off, stunned, avoiding mirrors*

Date: 2005-04-19 10:30 pm (UTC)
From: [identity profile] fighter-chick.livejournal.com
Dietary restrictions suck big, hairy rocks. I don't blame you for whining--you're being asked to cut a lot of good-tasting comfort foods. You will live, yes, but that doesn't make it fun.

What exactly does your doctor hope to accomplish by removing all those things from your diet?

And...40lbs? That surprises me too.

WRT your stress and A Few Things You're Not Going To Want To Hear(tm):

Yes you compartmentalize, ignore, etc. But ya know, it's proveable that people who block and ignore stressors can have those stressors express themselves physically. Just 'cause you've put it in a box doesn't mean it's gone away.

I know you don't want to give up any of your activities. But I think you're doing yourself a disservice by trying to hide your activity and stress levels from your medical providers. Go back and read that part of your post, and think about what you'd tell me or beanolc or sirst if we'd written that.

You have commented on the number and variety of activities *I* do. Well, you've got more on your plate than I have on mine.

*HUGS* I hope they're able to get to the bottom of what's wrong with all possible speed and the least possible interference in your life.

Yup, 40 lbs

Date: 2005-04-20 04:21 pm (UTC)
From: [identity profile] thread-walker.livejournal.com
Yup, based on what I weighed in at yesterday, I was told to loose 40 lbs. She's been aiming me at the same target weight since I started going to her and I was making good progress through last fall, but I back slid this winter. I suspect I'm about to get to see her "more tough" side real soon.

You should have heard her solution to the acne. It was practical in a sort of surprising and (for me) concerning way. I'm to take a course of anti-biotics every month. For me, that's alarming because I don't take any kind of regular medicine or hormonal thing and I already know that I have an emotional reaction to that sort of thing.

Stress - Yeah, I know. I need to finish processing it internally before I can discuss it rationally with anyone. I'm not blowing off your advice - I've been saying as much to myself. But there have been some alleviating things in the works over the last week and I'm sincerely optimistic that it will help a lot. Most notably, F's physical therapy will be down to 2 days a week. So that's 2 nights instead of three that I'm juggling the family alone. With that I'm also hoping we can go out to dinner as a family and focus on quality time together. On the other hand, Nana is going to be spending two nights a week with us and they are, coincidentally, the same nights F has PT. I'm not sure if that's better or worse. We'll see next week when she starts. Plus, once the baptism is past all the numerous tasks I bit off to do that will be done and I won't be mentally trying to juggle those. I'm really seeing this coming Sunday as a climax to the stress.

Re: Yup, 40 lbs

Date: 2005-04-20 05:43 pm (UTC)
From: [identity profile] beanolc.livejournal.com
WRT Weight:
Was this based on your BMI? It just seems like that would be severe on your frame.

WRT Acne:
I've taken most antibiotics for skin there are. Let me know if you have any questions.

WRT Stress:
Hang in there.

Re: Yup, 40 lbs

Date: 2005-04-20 09:32 pm (UTC)
From: [identity profile] thread-walker.livejournal.com
WRT Weight: based on BMI, not that 1950's weight chart. Would you guess I've gained 20# since Thanksgiving? D'Salai and I were talking about our weight recently and I bowled her over with how much I weigh. I suspect my frame might be good at disguising this stuff.

Acne - it's hormonally linked. Dermatologist #1 (on this go-round) said that I was basically out of luck until at least menopause. So there's the silver lining to menopause.

Re: Yup, 40 lbs

Date: 2005-04-21 03:47 pm (UTC)
From: [identity profile] beanolc.livejournal.com
WRT Weight: No, I'd have never guessed. I tend to get gape-mouthed looks when people find out how much I weigh, so I understand being able to hide it on one's frame.

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