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Progress – Slow but Sure.

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I’ve moved from relying on a Walker to a Cane. In the morning, when I’ve got the most strength, I am able to move around without any assistance. Of Course, I am in my own home and have a million items to grab onto if necessary. By the end of the day, I need those assists.

The biggest shock upon arriving home was the Weight Gain – 15 pounds. This morning’s weigh-in showed a loss of 10 pounds. Still – very strange. I am only eating at home and only low carb foods. Also – no alcohol – does not seem like a good idea to mix a glass if wine with OxyContin. My wife has lost 5 pounds eating this way with me. Following her lead – I should have lost an additional 10 more pounds. Damnation!

The left – post surgical leg – is still swollen. The ankle is scary. Gets bigger as the day progresses. Putting on the compression stockings is annoying – more for my wife who has the very hard job of doing this, than me who merely suffers the indignity. Last go round – the swelling of the right leg was so bad that both the nurse and my PCP recommended getting a DVT scan. This time – I am not panicking. The prescribed blood thinner – a 325 Aspirin once a day. After 30 days, back to the baby aspirin.

Getting a full night’s sleep is a trick. I pretty much am locked into sleeping on my back. If I roll to one side – I will wake in pain. Once up, I’ve got to go for a walk to shake it off. End result – I sleep in two hour intervals. Not happiness. 

I have a serious case of Cabin Fever. Given the mess I got myself into last time, I will tough it out a bit longer. My main excursion out is this coming Thursday when I have a Follow Up visit with the Surgeon.

Still – No Complaints – the pain that I suffered pre-surgery is gone. It has been replaced by the surgical pain – but that will slowly dissipate. With a bit of luck – I will end up relatively pain free.

Surgeon Guilty of Giving Nutritional Advice.

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To a large extent, this is going to be County specific but a surgeon was found guilty of giving nutrition advice that he was not competent to give. Click here to read the full Article.

Key points:

  • Dr Gary Fettke reprimanded by medical watchdog AHPRA for suggesting patients eat low-carb diets
  • AHPRA found he was not qualified to give nutritional advice
  • His case has prompted a Senate committee to call for inquiry into AHPRA

 

According to Dr Fettke, an anonymous complaint from a dietician at the hospital sparked an investigation by the Australian Health Practitioner Regulation Agency (AHPRA).

Two and a half years later the watchdog found he was working outside his scope of practise and was not qualified to give specific nutritional advice, and he was ordered to stop speaking about the low carbohydrate, high fat diet.

“The committee does not accept that your medicine studies of themselves provide sufficient education or training to justify you providing specific advice or recommendations to patients or the public about nutrition and diet, such as the LCHF lifestyle concept,” it read.

This is a Turf War. Dietitians believe they have the sole ability to give nutrition advice. 

This takes the concept of specialization to the edge of lunacy.

Why is a medical professional who has specialized in surgery not capable of understanding and giving Nutrition advice. My latest surgery came with a number of nutrition related recommendations. Did my surgeon overstep his bounds since nowhere on the information did I see a dietitian consulted nor did I agree to pay for such service.

It is sad to realize that protecting one’s income would be allowed to undercut good health care.

What’s your opinion.

Unilateral Exercises and Hip Replacement Surgery

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I have never been a big fan of unilateral exercises, but I do them – or at least some of them.

I now find myself in a situation where those exercises have really been a boon to my recovery.

Think about it. I had surgery on my left hip. That means I have significant limitations on my left leg. There are a series of “Precautions” that you are instructed to follow. These are mainly designed to assure that you do not dislocate the prosthesis while it is healing or dislocate the ball joint – once in place and before the muscles and tendons heal.

Oddly – I avoid much of the problem because of my ability to use one leg. The single leg bench get-ups being one of the most helpful exercises done prior to surgery. All those Ab workouts – especially hanging leg lifts – paid off. Getting into bed by locking my abs and just swinging my legs onto the bed have amazed those who where there to lift my legs onto and off the bed.

And as a side note: All the upper body workouts really help when you are stuck using a Walker.

No matter what the latest study says – doing real resistance training at any age is worth the effort.

BTW: About 50% of that strange 15 pound weight gain has come off. It will probably take another couple of weeks for all of it to dissipate and find my New Normal.

I am hoping to be able to join the Winter 2017 52 Day Challenge when it starts on Wednesday, January 4th.

15 Pounds – WTF?

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I weigh myself every morning when I get up and after I relieve myself. I then record the weight. A bit compulsive – no doubt – but I really do not want to allow myself to lose control – again.

I weighed myself on Tuesday morning before Surgery and recorded it. I got home on Friday and weighed myself on Saturday morning. My expectations: + 3-4 pounds eating Hospital Carb High meals, and +1-2 pounds for the increased weight of the prosthetic, and 2-3 pounds for all the meds and stuff shoveled into me  and MINUS 2 pounds for the bulk of foods I was not eating. So – I expected a maximum of 8-10 pounds – but 15 pounds – what – how – where – when? Weighed myself again this morning – still there.

The surgery went well. No big surprises. The Doc believes he has added 1/2 inch to my leg to allow it to be the same length as the other one. Here’s hoping.

The Nurses, Aides, and Physical Therapists were all surprised at my ability to function post surgery. No question – all the exercising helped. One aide who was there to take blood, asked me – do you work out? Not sure what he saw but I really don’t believe I have big guns. Maybe it is just what he expected for a guy my age.

Now I am dealing with a leg that is swollen beyond belief. Took my wife 20 minutes to get a compression stocking on to it. Same thing happened last time – everyone panicked and I was sent for a scan to confirm that I did not have a DVT – I didn’t.

I have a chart of various OTC and Rx meds to take throughout the day. Both Long Acting Oxycontin and Short Acting Oxycodone. Trying to stay away from the Short Acting as best I can.

Yesterday, the Home Aid Service Nurse and PT guy were here for an assessment and to set up their schedule over the next week. For some reason – the nurse believes that I need a further review today. Not sure why.

BTW – I acknowledge that my brain is not as clear as it could/should be – but pain or brain – pain wins.

Another Hip – Another Replacement

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Tomorrow I have my left hip replaced. I may very well be in the hospital for Thanksgiving. Some thoughts:

The hospital meals are the classic high carb – low fat – low salt meals. By the time I complain – I’ll be out of there.

If they discharge me on Turkey Day – It will disrupt everyone’s Thanksgiving and they will believe they have to bring it all to my house. I’ll be happy with whatever the hospital serves.

The new hip will increase my weight by a pound or more.

I will not be able to exercise – in the manner I want to – for many months. But – I may be able to go back on the Treadmill without pain.

Eating at home for several weeks will help control my weight. Not being able to imbibe while taking pain killers will also help my weight.

Not being in pain along with the pain killers – should make for a better night’s sleep.

Balance Pain versus disruption of my normal life – Pain rules the day – Surgeon – do your thing!

U-M Study Bodes Well for Low Carb Eaters.

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I love headlines. Particularly those that herald a Magical – Secret way of preventing Diabetes. They get our attention – but they don’t really do more than draw lines in the sand.

So goes the recent press release on a University of Michigan Study.

Three low-carb meals within 24 hours lowers post-meal insulin resistance by more than 30 percent, but high-carb meals sustain insulin resistance, a condition that leads to high blood pressure, prediabetes and diabetes, according to a University of Michigan study.

The study also found that two hours of moderate-intensity exercise, which is supposed to lower insulin resistance and blood sugar levels, has no impact on these results. To the contrary, blood sugar levels increase after the exercise, said Katarina Borer, professor in the School of Kinesiology and principal investigator in a study done with doctoral student Po-Ju Lin, now at the University of Rochester Medical Center.

But read and see.

In the U-M study, 32 post-menopausal metabolically healthy women were divided into four groups and given meals of either 30 or 60 percent carbohydrates with or without moderate-intensity exercise before meals. The low-carb group showed a reduction in insulin resistance after the third meal in the evening, but the high-carb group sustained high post-meal insulin, Borer said.

  • First- the study is very small – 32 individuals. This is just too small for too short a time be meaningful.
  • Second – the group was post-menopausal metabolically healthy women – 50 to 65 years of age. Not sure why they chose this group but – anecdotal information has shown that this is a group whose hormones are “different” and have always had a more difficult time losing weight on a Low Carb diet.
  • Third – The reduction in the percent of carbohydrates went from 60% to 30%. Based on a 2,000 calorie diet – one group ate 1,200 calories or 300 grams of Carbs while the other ate 600 calories or 150 grams of Carbs.

If you want to read a more complete discussion of the Study check it out here.

I love reading positive reports – but ones like this – merely get critics all lined up to tear it apart.

Still – those of us who eat low carb – are not surprised by even this small change on one day.

 

Protein impact on Weight Loss

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Check out this Press Release dealing with a study which identifies one of the mechanisms by which a high protein diet aids weight loss.

A common end-product of digested protein – phenylalanine – triggers hormones that make rodents feel less hungry and leads to weight loss, according to a new study…

Interesting experiment identifying the impact of protein.

My only problem – the use of the phrase “high protein diets.” Never sure where the line is drawn.

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