Alyssa Got Her Groove Back

Heeeey! *Dusts off a few spider webs, then sits down next to you*

How’s it going? I know I’ve been gone for awhile, but I’m back! I’ve been super busy the past few weeks traveling around the country for work, helping kick cancer’s butt with the 3-Day. I’m lucky that I find the work I do immensely fulfilling, and I spent many long weekends hearing and telling people’s stories. Love, love, love it!

Being on the road when you’re in a perpetual state of trying to lose weight can be challenging. In addition to working long hours, there’s the fact that you have a per diem, and sometimes, the only food around you in the area in which you’re traveling is fast food like Popeyes. (And I’m not going to lie – I do find a buttery Popeyes biscuit quite delicious.) While I was in Michigan and Minnesota for work, I tried to just tell myself that I could make an unhealthy decision if there didn’t seem to be any other options, but that I needed to make up for it with exercise. And exercise, I did! My job while out on the road is very active: as I’m documenting people doing the 60-mile walk, I also get a fair amount of walking in. At one point, I walked 11.25 miles in one day! I tried to stay away from too many of the delicious snacky items like potato chips, and tried to nom on fruit whenever possible.

Happily, my efforts weren’t in vain, because when I got back from my last trip, I had an endocrinology appointment to see how everything was going. I hadn’t weighed since a month prior, and I’m happy to report I’m down another six pounds! This is roughly 22 – 25 pounds since the beginning of this year, and while it’s slow progress (sometimes only two pounds lost per month), this is PROGRESS. As I’ve written about before, weight loss is challenging as is, and then add a double dose of PCOS and thryoid crap, and you’ve got a perfect storm for frustration after lots of good effort. However, I’ll take it. I feel like I’m finally in a groove again with weight loss, realizing that if something doesn’t taste worth it, I don’t need to eat it, AND, that if I stick to my PCOS medication regularly, that will help keep me on track. I sometimes avoid it because it makes me nauseous, but I’m starting to see that it’s an important ally for me in the weight loss war.

I’ll be taking some new progress pictures hopefully sometime this week, but when the nurse at the doc’s office told me my weight, I had a sudden burst of victorious glee. I know that I still have a long, long, long way to go, but every day and every choice that I make can help put me just one tiny step closer to the person and place I want to be 🙂

 

Why liking your doctor makes a huge difference.

When I think about the past two years in terms of doctors, I have a veritable cast of characters that come to mind. Getting married, becoming unemployed, going on my husband’s insurance meant switching from Kaiser, where all of everything was neatly contained in one HMO system, to the wild west (but totally awesome) land of PPO. I didn’t need referrals to see specialists for all that ailed me; and for once, my histamine-hating body rejoiced at the fact that I could pick my allergist based on reviews, proximity, and office hours of convenience. Granted, there were some trials as I adjusted to the PPO plan, like the fact that I needed several different docs — an allergist, a primary care doc, a dermatologist, a lady doc, and an endocrinologist (apparently I’m high maintenance). I hit gold with my allergist, but didn’t so much love my primary care doc. Instead of a doctor who actually listened to my complaints about my weight, I got the old “You’re not trying hard enough. Exercise more, eat less.” Now. Surely there’s some truth to that. But had this doctor taken the time to *really* investigate my claims, they’d find that blood tests don’t lie, and neither was I. So I dumped him, and moved on to the next. I bumbled around with a few different doctors, and now, a year later, I feel that I finally have my medical dream team assembled.

Curvaceous and Stunning Vaudeville Star Lillian Russel

Yesterday I had a two month follow up with my endocrinologist. I like this guy, because not only does he have a great sense of humor (reminding me that I was born in the wrong era, because my weight back then would have been highly desired — even mentioning the curvy old film star Lillian Russel, see below!), he TAKES TIME TO EXPLAIN THINGS. As in, he actually busts out his doctor pen, and starts to draw diagrams on the paper sheet on the exam table. Yesterday, he drew a diagram of the kidney’s role in weight loss, and why a long-term low carb diet can be challenging on the kidneys. (We’re trying a 1,300 calorie  day diet now, with moderate “good” carbs.) I had some very pointed questions about some of the hormone issues I’ve been having, and he gave me very direct, yet polite, responses. There’s a bedside manner that’s needed anytime you’re working with the public, especially when it’s sensitive stuff. I don’t need to be coddled, but if I ask a direct question, I want a direct answer, but delivered softly. This guy has it mastered — even making jokes about Dexter while taking blood. Schwing! I have what’s called “white coat hypertension”. I’m usually nervous at doctor’s appointments, so yesterday, my first blood pressure reading was sky high (156/92. YIKES!). I now know to ask the doctors to re-check mid-way through the appointment. I’ve known this for years, yet Kaiser wouldn’t retest me, and I ended up having to visit a hypertension clinic where, no surprise, my repeat blood pressure readings were great. The doc yesterday got me laughing, took my blood pressure a second time while cracking jokes about my Metformin induced nausea, and lo and behold, my blood pressure was a relatively healthy 126/79. That? Is a good doctor. One who listens, takes note, suggests helpful modifications, and cares.

So who cares if I like my doctor, right? I care. You have to decide to take action after leaving your doctor’s office, to try and manage the things YOU can control. Some things you can’t control, but some you can. I left my appointment feeling encouraged, positive, and motivated to keep working on my weight loss. And that’s why I realize it’s important to like the person who’s helping to take care of and treat YOU. Because YOU matter at the end of the day, and to keep yourself in tip-top shape, “liking” the person who’s giving you the orders is super important. Have you found a doctor you like?

 

 

 

 

 

Weekly Recap, Double Chin Style

Hello, hello! Sorry for the tumbleweeds blowin’ around here lately…I’ve been on the road living life, and sometimes living life means my little dusty corner of the internet gets neglected for a few days. Here’s what I’ve been up to!

1) I got really POed last week at my weigh in when I gained a pound. I was mostly POed because I *mostly* refrained from eating carbs (except for some delicious Scotchmallows on Easter), walked over 10 miles total, and did a horrifying Jillian Michaels Shred class at the gym. In my mind, all of those efforts should have meant I got skinny right away, because you know, of course eating mostly right and exercising for seven days should automatically result in a 70 pound instantaneous weight loss… I had to talk myself down from my unreasonable yet totally realistic-in-the-moment musings of “I should just accept I’m always going to be heavy and move on with my life”. I actually made a pretty funny comparison now that I think back on it, and I’ll share that one in a few days when I have time to summarize, but it involves everyone’s favorite new movie, Frozen, as shown below.

Coming soon on the DCD: Why Alyssa's weight loss struggles parallels Elsa, a queen with a frightening magical power.

Coming soon on the DCD: Why Alyssa’s weight loss struggles parallels Elsa, a queen with a frightening magical power.

2) I’m meeting with my endocrinologist next week for a follow up, and I can’t wait to switch medication versions from a normal Metformin to Metformin XR, which is extended release and will hopefully make me less nauseous after taking it. After two weeks of feeling constantly urp-ish, I summoned Dr. Google and discovered this PCOS medication can “hit you” five-six weeks after a dosage change, when levels increase in the body. I’m not a doctor of course, so don’t quote me on the accuracy of that, but it made sense to me. You’d think that constant nausea would translate to weight loss, but nope, not this week. Next week, hopefully. Ironically, whenever I eat too many carbs, the gastric distress is enhanced, making me wonder if I do have some sort of gluten intolerance. Maybe I should look into that. Oh carbs. Why do you have to be so delicious?

In honor of Mean Girls 10th anniversary.

3) Fundraising! Thank you SO much to everybody who has donated to my journey towards 60 miles. I’m currently at $669 raised out of $2,300, and my teammate Aubrey has challenged me to raise $200 by Sunday evening. Can you help me get there with a donation of $50?     I have been enjoying training, and today did my longest walk in awhile, clocking in 4.80 miles with my friend Amy. I’m a little bit sore now and am kind of like “Oh, crap. I’m going to be walking four times that in a couple months?! THREE DAYS IN A ROW?!” Scary, but awesome. I can do it. You can do it too. Wanna walk 60 miles with the Double Chin Divas? You can join us on our quest to end breast cancer by fundraising $2,300, walking 60 miles, and then enjoying a fun-filled weekend of walking and glamping. Let me know if you’re interested; I have a special coupon code I can share. Cancer sucks, and this is something we can do to help kick its butt.

Let's leave breast cancer out in the cold. Besides, who doesn't love penguins? Please support me on my journey towards walking 60 miles with a donation.

Let’s leave breast cancer out in the cold. Besides, who doesn’t love penguins? Please support me on my journey towards walking 60 miles with a donation.

4) My bestie got engaged this week! I flew to Northern California to celebrate her birthday and engagement. She and her soon to be hubby are a lovely couple, and I had so much fun at their BBQ and catching up. I also got to squeeze in a nice dinner with all my parents which was lovely. I’m so grateful for an awesome job that allows me to work remotely, as it gives you such a nice flexibility. I can work anywhere that has wifi and cell phone reception — so rad. Now to actually try and work standing up one of these days. Has anybody done it? Any tips?

 

Checking out the ring!

Checking out the ring!

5) I got a haircut. It’s fun to have a change. 🙂

Ok, that’s all I got, because it’s 11:28 p.m. and this chickadee should be asleep in bed by now. Tell me what’s new in your world, and have an amazing Thursday!

Alyssa