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Looking at a Revision

I haven't been happy with the lap band for a while. I've been stuck. I had lost over 90 pounds, then started gaining again and I'm at a total of 70 pounds lost. I've tried a bunch of stuff, but nothing has worked. Well, that's not true, I started losing weight again with Precision Nutition - an online program. I went saw the bariatric surgeon who initially did the lap band surgery but wasn't happy with his attitude. He wanted to put me under and look at the band. He didn't explain what he was talking about until I asked, and that was about 5 minutes of talking to me, with me totally confused. Before I left, I mentioned to the office staff I would rather talk to him about a revision before we did anything else, but that request went ignored. When I went to looking for him, he didn't come as being covered by my insurance. Another surgeon that I had seen for aftercare DID come up and after not hearing from the initial surgeon about the revision, I made an appointment with her. I'm very happy with her, and I've proceeded with her suggestions. Since I'm 60, we did a cardiac workout and apparently I'm cleared -- but haven't gotten the official word yet. I've also had an upper GI, and apparently the band has slipped slightly. I'll know more after the surgeon gets back from vacation. The best part is that I've gotten the office staff work with me. They wanted a sleep study and I finally got across to them that I don't need one because I'm under the care of sleep doctor and am on CPAP therapy. I'm happiest because I found a dietitian I like in June and I can use her instead of the one they referred that I don't like. That also means I've checked off two of the four visits I need for that. I'm hoping I can keep her.

Great Endo visit

Fortunately my quarterly Endo visit was scheduled the day after the doctor's office opened and I could get my labs done the day before.

I don't believe that the standards for diabetes care have changed much before and after covid.

I did have to have my temperature checked before I came into the office.  Everyone was wearing face masks and shields.  It did make it difficult to hear my Endo because she is soft spoken.

A1C was 6.6 -- my other labs were all within range -- I've lost 4 pounds since the visit in January.

We discussed several important things -> don't go to the hospital.

We also tweaked my insulin pump.  I've programmed it since I've come home.

I'll see my primary care physician next week --> all my normal standard of care.


I'm glad we're opening back up

I don't post about politics much. It's because I don't like fighting with people.  The whole shutting down the country and now opening it up again was about politics.
 
I love the way people get brainwashed.  We never closed the country to get rid of the virus or even to keep people from dying.  We closed the country to flatten the curve, to reduce the number of people who needed personal protective gear, and to give our scientists a chance to learn more.  It's been pushed so hard that we should stay home, now people don't want to go out.
 
I like Governor Abbot (Texas) a lot. More than most lawyers and more than most politicians, though I have liked a lot of politicians through the years, campaigned for a few (Reagan/Dole).
 
I was raised to respect our countries leaders, even if we don't agree with them.  I've respected all our country's leaders, even if their actions were not with respect.  Sadly, if our president says the sky is blue, there are people who will immediately believe the sky is bright red, they hate him that much.
 
My dad was diagnosed with congestive heart failure when he was 46 years old. He and we were told that he would die if he caught anything like a cold or the flu. He didn't go out (and he was on oxygen, and that was LONG before the portable oxygen concentrators) and we didn't go visit if we were sick. People came to the house every day and brought him lunch. Lots of people that mom and I didn't know about -- I was working about 30 minutes from the house.
 
I'm 60 and diabetic.  I have to take care.
 
I'm glad we're opening the country back up. Not working is driving my husband crazy -- so crazy that he took everything out of our storage shed today and had me tell him what I wanted to keep.  We did get positive news today but that doesn't mean he will be able to go back to work.
 
I was in tears to see that the Perry dog show is going to reschedule. Happy tears. I don't know when I will feel comfortable enough to go to a dog show, but I have friends who aren't making money and I know are going as crazy as my husband is, who make their living at dog shows. I don't know which one of them will go and who will send their dogs. I also have friends that go to dog shows to have a good time. Again, I don't know who will go.  I know I won't.  It means that the AKC can take people off of furlough and start working again.

Our national specialty is going to be an anniversary year, but I had already decided not to go.  It's in October and they are still trying to have it.
 
The Dallas shows are still on the calendar.  I'll probably go, but I'll do it the way I did the Dallas show when we had canine influenza.  I'll groom at home and only be on-site when it's time for me to show.  I will wear a mask.

Opening Texas is a good thing.  I didn't go to a state park today and probably won't -- but I didn't do that before.  Our stores will be open for drive-up service on Friday -- not all of them, the craft stores didn't open today as they didn't get enough warning.  I probably won't buy anything but I didn't before they closed.

I probably will buy something from Nordstrom and will do pickup but I did that a lot.  I will go to the Nordstrom cafe as soon as it opens.  That's my almost weekly treat and I miss them so much, not the food, but the people.

Everyone just settle down.  And do what you can do.  If it is stay home, stay home.  If it is go out and do what you did before the closures, do that!

Current Status and Thoughts - Covid19 and Diabetes

Scary times. I'm 60 and diabetic so I am at high risk of ending up in the hospital and on a respirator. I'm also high risk for dying. Frankly, I don't want to take up resources a younger person might need, especially if those resources are in shortage. I don't want to be unconscious in a hospital where my husband can't visit. Of course that time when you are on the vent, is the best time to visit, but there are a few days after where company is nice. I have talked about the possibility of having it with my primary care physician. Back in February and today. Both times he said my respiratory symptoms are my normal spring pollen symptoms and at this time he doesn't recommend testing. Here's the deal: They have their own lab, so if he doesn't think I need to be tested, I don't need to be tested. I didn't put it as this succinctly, but a friend did. The virus is just like Schrödinger's cat. You can get tested and be positive. But that could be a false positive. You can positive and not have symptoms. You can be positive and have symptoms. If you don't have symptoms, you should self quarantine for 2-3 weeks. If you do have symptoms, you should treat the symptoms and self quarantine for 2-3 weeks. You can get tested and be negative. It could be a false negative. At the moment, I'm in Texas and Dallas County and my movements are restricted. Basically in quarantine for 2-3 weeks. You could get the virus two days after you get tested -- see above. I do think that shutting things down enough so that every one is quarantined for 2-3 weeks. I do think this is something we're going to have to live with. I think the things we have done have not only allowed the virus to stop circulating is also allowing the flu virus to stop circulating. We're going to be wearing face masks for a while, and that when we see a community outbreak, we're going to have to shut down community down for a 2-3 week.

Best Nights Sleep in a while

I switched to a nasal cushion last year because my full face mask was wearing holes in my skin and my skin needed a rest.

I just saw my sleep doctor Thursday and asked to go back.  He prescribed a Phillips Responics DreamWear Full Face mask.  He showed me one that was similar to the nasal cushion mask, but I didn’t like that style as well.

The biggest problem was figuring out how to put it on.  It fits below the nose with two holes for your nostrils.  I’m so use to a full mask that goes over the nose I was confused.

Once I figured it out, I was good to go.  Didn’t wake up, and sleep soundly.  Also, when I woke up the mask was still on me.

Last year’s mask was this one: ResMed AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear

The issue was that it would slide up my head and would be loose in the morning.  The machine wasn’t registered that as a leak or other issue, which surprised me.  It was the top fit that was an issue.

He had me try one a similar full face but I could tell I would have the sliding issue again.


All of my diabetes care is now available at my local CVS pharamacy

<whew!>

No more DME for my diabetes care.  No more 90 day supply.

Dexcom G6 sensors: check

Omnipod Dash: check

Insulin: of course

Ozepic: of course

Test strips: them too

I can't tell you how much nicer it is to be able to go to your local CVS and pick up your diabetes supplies.  No more UPS, no more FEDEX.  It shows up too hot, the pharmacy deals with it.

Not only that but if I travel, I can get it filled at a local to that location too.

Now they don't keep them in stock, and it typically takes a business day to get them, but I can live with that.

Seriously, when I drove to Boston this year and needed insulin, I was able to pick it up in Sikeston, Missouri.  When I needed a new transmitter for my Dexcom G6, I was able to get that in Acton, Massachusetts.  It makes traveling so much easier when you don't have to pack everything for the full trip but can get what I needed on the road.


Answers finally

I finally got an answer, and I've been working on that for a few weeks. I've been having pain off and on, but I really thought it was the knees, and so did the rheumatologist. He said come back in six months, and oh, get an X-ray of your back. He decided it was my knees and my weight. Well, I got the x-ray of my back, but didn't get the results. I asked my chiropractor to look at them, and she shared them with me. Basically I have osteoarthritis of my lower back. The chiropractor has me on a decompression machine which isn't making it worse, and we should see results until next week. The rheumatologist is frustrating but I do sleep better with the gabapentin he prescribed. I'm going to talk to my primary care physician and see what he suggests next. I'm considering going back to physical therapy.

So what happened with the leg?

I haven’t said much about it because I am so discouraged.

On May 2, I was getting ready for a dog show and fell hard.  I literally couldn’t get up and had to crawl to a chair and pull myself up.  Husband brought me the crutches and I just couldn’t use them.  It was late in the day and I was in denial so waited and did xrays the next day.

Good news, nothing was broke and it wasn’t any thing an orthopedic surgeon could fix.  I got a Physical Therapy appointment as quickly as possible, and worked with them from May until mid July.  I stopped when I wasn’t making any more progress.

At that point, I was walking with a limp which wears me out, or using a walker.

On the good news front, I’ve found a walker that looks good and I can show Obi with.  I have good and bad days. Yesterday I walked into the gym and Nordstrom’s — today I used the walker.  

My orthopedic surgeon wanted me off anti-inflammatories, but my primary care physician wants me to do them for another month.

At this point I am planning to go to the National Specialty and the dog is entered, but it depends on how the regional speciality in Iowa goes.  


Fall Recovery

I fell on May 2.  I'm still going to PT and we think I have 3 more weeks to go.

Yesterday I had Physical Therapy at noon, and then went to conformation class with Obi.  Everything was easier but 6" steps and standing are still kicking my butt.

I was able to move Obi well enough on the down and back, but I'm still slow moving him around the outside of the ring.  The Dallas shows are the first weekend of July, and  I am planning on taking my walker, as it's easier to sit and position him than it is to squat and position him.  

The day after PT, I'm doing the pool.  I find that I just ache the next day, and being in the pool helps.  I do as many of the at home exercises I can in the pull, especially balance and standing.


Fall Recovery

Still have lots of odd pains in my leg.  Most my butt, the band of tissue above the knee, and knee pain when I'm tired.  Unfortunately about 5 steps makes me tired.

I'm learning to take the afternoon off after PT, and to take the next day off.  Today, I am starting to work hard on standing since I can't stand on the right leg only.

The good news, is that I have now met my maximum out of pocket, and I was pain free working out on the bike yesterday.  I was having pain when fully extending that leg.

Also, I was able to do all the exercises that the PT people threw at me on Friday.

Every day is a bit better.