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Saturday, November 25, 2023

November 25. So many slips

I perhaps should have anticipated difficulties beyond just eliminating foods, in a holiday season, with a house guest! And so it came to pass. First, I stopped the total elimination at three weeks instead of four. Then I had margaritas with my friend. Then Thanksgiving. I could have made that work but instead I indulged, and continued to indulge in the days after. 

I think, even so, that I learned things. That I am not sensitive to potatoes or wheat or onions or corn, for example. It is good to know that when I eat that English muffin it will not increase my arthritic pain.

Having gone crazy in too many directions I need to start cutting back so I can test various foods again. 

On the plus side, I completed a one-mile Turkey Trot on Thanksgiving Day. The rest of my family (those who were in town) completed a 5K but I knew the one-mile would be enough of a challenge. It was for sure because I added at least another mile getting from car to shuttle, from shuttle to start, from finish back to shuttle. There is a lot of walking just to get started in this particular race. Finishing it without having back pain or serious knee pain was informative and tells me I can start up morning milers again. Oh, I used a cane. It helps me walk straighter, which I believe helps avoid back pain.

Finished!


I was able to stand for longer periods than used to be the case, also. The hip operation did its job.

Because of my overindulgence I did not weigh myself. Tomorrow?

BP: 146/79


Wednesday, November 22, 2023

Golly Miss Molly November 20

 Well, if I stay with corn maybe I get some cornmeal, make cornbread. Or corn tortillas. Or just some kind of bean and corn thing.

Yesterday I did a lot of walking. Getting ready for a visit by Mary's family at my new house. Picking up things at a thrift shop and Dollar Tree. Making it look welcoming even without being furnished. 

BP: 139/75

Weight: 


Monday, November 20, 2023

Beginning Corn

 November 19. I'm starting two days of corn today. I have had no ill effects from potatoes, onions, or wheat.

------

I didn't have any corn at all today. Went to Tacotarian and had a sandwich. No tortillas, no corn of any kind. Thinking should I continue with corn or do something else, or start tomorrow with a different food?

BP: 157/82

Weight: 198.4

Sunday, November 19, 2023

Wheat again

 No ill effects yet. This morning I had a ciabatta bun, toasted. So good.

I ate four ciabatta buns today. I know my weight will go up tomorrow.


BP: 152/75

Weight: 197.4


Saturday, November 18, 2023

Wheat

 November 17. A good day to start eating wheat again. I'm thinking pasta to start, cooked in veg broth.


BP: 141/80

Weight:  199.2

Friday, November 17, 2023

Second Day of Onions

 November 16: I can imagine a book with that title: Second Day of Onions.

I need to come up with many ways to eat them today. The air fryer awaits, as does the instant pot. Oh, and the stove.

While I had severe arm pain last night, it went away. I don't know what causes this. Must be arthritis. Seems so random, though. 

--------

I've eaten quite a bit of onion today. Had mashed potatoes with onions tonight. Tasty!



BP: 153/77

Weight: 198

Thursday, November 16, 2023

Next food to try

 November 15/ What will I be eating for two days this time? Onions? 

------

Yes. Onions. I need to eat more of them tomorrow. So far no ill effects. However, my right arm hurt like crazy for quite a while.


BP: 133/71

Weight: 198.6


Wednesday, November 15, 2023

Potatoes day 2

 November 14: I'll be eating lots of potatoes today.  So far I have not noticed an increase in pain.

---------

I had airfried potatoes and steamed potatoes, along with some sweet potatoes. Not noticing any effect. What to try tomorrow? I am thinking of onions.


BP: 128/74

WEight: 198

Tuesday, November 14, 2023

Start of adding back in

 November 13: Obviously, I have not followed the plan exactly. But I think I can still get some results. 


Today I started eating potatoes.



BP: 137/74

Weight: 199

Monday, November 13, 2023

Is it Day 22?

 I still haven't decided for sure to stop at three weeks.

-------

Later...

I made margaritas tonight. So I did stop at three weeks. I'm deciding whether to make citrus the item I eat a lot of in the next few days, because of the orange and lime in the margarita. Or instead, potatoes.


BP: 133/81

Weight: 197.2

Saturday, November 11, 2023

Day 21: End of Third Week

Veterans' Day.

I have been doing a lot. Meeting people, sending packages and letters, waiting out people doing work on my new house, living through an unnecessary sales pitch...

I am considering ending this challenge at three weeks instead of four.  If only so I can enjoy some things with my visitor, Laurie, and my daughter Elaine.

BP: 139/76

Weight: 196.4 

Day 20

November 10: Closing in on the end of the four weeks. I went off the plan a bit yesterday when I had an energy drink, sugarless, from Dutch Bros. The sugar-free chemicals can cause inflammation.

I am feeling, again, mildly optimistic. I think my knee pain is less today.

BP: 157/86

Weight: 195.8

Friday, November 10, 2023

The Nineteenth Day

 November 9: Yesterday I closed on a house! 

I have been going mad making appointments, arranging for utilities, getting repairs done, and on and on.

Today I was able to put a sock on my left foot without an aid. This is huge!

BP: 134/82

Weight: 195.6


Thursday, November 9, 2023

The Eighteenth Day

 November 8: Ten more days until this challenge changes. I am favoring soups a lot. Thinking I'll make another batch of carrot soup today.

Slept rather well last night. Not bothered by restless legs.They started twitching in the afternoon but it wasn't as strong a twitch and at night, after taking the pills, it went away. 

The scar looks better today. Still some redness around the edges but it's flattening somewhat. 

I had physical therapy today. I think I'm moving better.

BP: 133/78

Weight: 197.8

Tuesday, November 7, 2023

Day Seventeen

 November 7. Tomorrow is supposed to be the closing day for my house. I am excited about getting in! Not excited for a little tense about making repairs. Mainly how much it will cost.

Last night I slept rather well. I increased the dosage of the ropinerole to 2 mg and I didn't have much bother from restless legs. 

BP: 131/82

Weight: 197.4


Day 16

November 6: I am cautiously optimistic about my knee pain. It seemed a little less yesterday. Maybe a little less today. Maybe it really will stop.

I meet with oncology PA Sara today by zoom. I will bring up the back pain and the knee pain, as well as the cracks on my fingers. They are dry dry dry and cracking at the tips. I have seen this - only worse - in Tagrisso group posts. I do think it is a side effect of Tagrisso rather than simply the dry weather here.

------

Later....

Met with Sara. She is prescribing a higher dose of ropinerole for the restless legs and scheduling an MRI for my back when I go to Mayo on December 18.

I had physical therapy in the afternoon. I told the therapist about my knee pain and my back pain and my restless legs. She modified some exercises for my knee. It does seem like it is a little less painful.


BP: 139/72

Weight: 198.4

Monday, November 6, 2023

Day 15

November 5: I had cramps in my legs again last night. This time they stayed and stayed and it took forever to calm them down. Fortunately, after that long episode they did not return and I was able to sleep.

My back keeps hurting. We went to the market and I was immediately in pain. Didn't stop until I got to the car and could sit down.


BP: 140/79

Weight: 197.8


Sunday, November 5, 2023

Wow. End of Week Two

November 4: I'm trudging on. I worry a little about the variations - some raw foods, tofu, garbanzo beans. But overall I am doing the plan and I think I'm doing what needs to be done.

Yesterday friend Laurie came for a visit. To prepare for her, I was tidying up, which meant I had taken a lot of steps by the time she arrived. Then I met her at baggage claim and we walked back to my car - more steps. Later we went to the grocery store and then to Lowe's to meet about kitchen changes. More steps. I took a lot more steps than I usually do these days. I think that is why my legs cramped up last night.

First it was one leg then later the other and then the first leg again. Mostly it was my feet. They would do that weird thing, straightening out and freezing there. I had to stand up and push down on my heel. Fortunately, that did the trick. 

Today Natalie the organizer came. She was here to pack boxes, with her assistant Jesse. She spent four hours in the morning packing stuff. I had woken early and was able to label what could be packed and what not, and I set aside things that I want to use until I actually move.  That took some time but it was worth it. Natalie and Jesse were able to go though several areas quickly. But there are still many things to pack. The next session is tentatively scheduled for next Saturday morning.



BP: 131/79

Weight: 199

Friday, November 3, 2023

The Thirteenth Day

 I managed to sleep last night, until about midnight. Woke and stayed awake quite a while. My knee was hurting and my leg was twitching. arrrgh. 

Twitchy in the afternoon. Knee continues to hurt.


BP: 136/78

Weight: 200.2

Day 12

November 3: Back pain and knee pain continue to rule my activities. My back pain sets in whenever I do any cleaning or food prep or almost anything. When I do sit-to-stand exercises it often comes in too. 


BP: 136/88

Weight: 200

Wednesday, November 1, 2023

Day 11

I had a struggle with restless legs again last night. It took forever to get to sleep, and then I had to get up earlier than I wanted because my legs wouldn't rest.

My knee continues to hurt. I don't know what happened there. It seemed to be fine and then bam! Knee pain again. Could it be from that fall? It doesn't seem so. 

I'm still working on defining this elimination diet. I haven't found a way to ask the questions I have. At this point I have made these modifications:

I'm eating soy foods.

I'm eating some foods raw.

I'm eating garbanzo beans.

I'm unclear on what seasonings are okay so I'm being cautious and going by the recipes in the back of the book.

Tonight, though, I'm having smashed garbanzos with celery and mustard. All mixed together.

BP: 129/74

Weight: 201.6

Tuesday, October 31, 2023

Day 10

 October 31:

Yes. Halloween. 

Last night my knee hurt too much, again, and I took a tramadol tablet. Made me feel fuzzy in the morning. 

I have been walking without my cane all day today. Not that I have walked much, but I feel stronger for doing it. 

It occurred to me that split peas and lentils are among the foods I can eat on this plan. Today I bought a couple of bags of each and made a pot of split pea soup without onions or vegetable broth. Just carrots and celery and garlic. I like it a lot.

And today I can relieve myself of some temptations. I have a bag of peanut butter cups in the freezer and a bunch of energy bars in the cupboard. I can leave some out for anyone who comes by for treats, and bring the rest to Elaine's house, where it can all stay if not taken. 

-----

It's almost 8:00 pm. I took a ropinerole tablet at 6:50 pm. But my legs are going into restlessness now.  My right leg now, not just my left. 

------

9:33 pm. Still dealing with the restless legs. It doesn't seem like the ropinerole is doing any good.

BP: 126/74

Weight: 101.6

Day 9

October 30:  I slept better last night than the night before. The pain in my knee did not continue yesterday but I definitely felt it this morning. Not as intense as the other night, fortunately, but I wonder about it.


BP: 140/72

Weight: 200

Monday, October 30, 2023

Week Two begins

October 29: Last night sucked. I had the usual restless leg, then after I got to sleep I woke with my left knee hurting. I'm trying to remember if the pain is the same as it was before surgery. I don't remember. I couldn't get to sleep with the pain. I tried rubbing it and stretching it and trying different positions but it did not ease. I finally took an oxycodone tablet. I had stopped taking the oxy tabs several days ago and didn't relish the experience but ultimately it seemed to be the right move. The pain did let up, although I felt nausea and that icky lightheadedness that comes with narcotics (for me, anyway).  I finally was able to get a little sleep. Not enough. I am still feeling really sleepy and I have been up for about four hours.

Just a little bit ago, my right leg started to cramp up. I'm not sure if "cramp" is the right word but it's close. I have been walking around the apartment, trying to get both my left leg, which has gone restless again, and my right, to feel normal.

Later. . .

The knee pain seems to have gone away for the most part. Restless leg continues to plague me no matter what time of day. 

I bought two large jars of applesauce yesterday. I have almost finished one of them. Along with many rice cakes, a can of garbanzo beans, and several ounces of sweet potato. I have exceeded the macros again. Usually do, in spite of the weirdness of what I'm eating.


BP: 147/80

Weight: 200.6


Sunday, October 29, 2023

Seventh Day

October 28: So the first week comes to a close. I am still on the plan. However, the list of triggers is slightly different in different places on the PCRM website and in Barnard's book and I am eating some foods that are listed as triggers on at least one of the lists. I am limiting my consumption of these foods but I haven't cut them out. These are tofu and garbanzo beans.  If I am not sensitive to these foods, no harm done. 

So far I am not noticing a meaningful reduction in pain. Of course I am still recovering from surgery so some improvement is normal. It could take four weeks or even longer to get at the inflammation that is practically built-in over so many years. 

I have been looking for a support group or just a person to answer questions. I looked on Facebook and found one group called anti-inflammatory eating for beginners, or something similar. I joined it and got a booklet created by the group's creator. It doesn't coincide with Barnard's lists. I'm not sure it will be helpful to stay in there. I was unable to find groups specific to the PCRM elimination diet. Maybe I need to use that term in my searches.

I have not found it difficult to get a lot of calories each day. Not as easy as it was with foods on that triggers list, but not difficult. I do get full, too, with all that fiber. I enter my foods in Cronometer so I can see what I am eating and how it shapes up on the nutrients lists. So far I seem to be getting plenty of protein, carbohydrate, and fat. And all just from these unprocessed foods. Or nearly unprocessed. There is some processing in making rice cakes, tofu, and rice noodles, but not much.

BP: 139/77

Weight: 200.2

Friday, October 27, 2023

Day Six

 I slept better last night. Had restless leg going on as usual but I did get to sleep and didn't wake too often.

I'm going to my first appointment with the outpatient physical therapist today. I think it is the same place I went to for a previous PT series. Even the same therapist, I think. 

Turns out I was wrong. It is a different physical therapy office. Very near the other one. I made an entrance today by tripping and falling on my knees as I went up the steps. Several therapists rushed out to help but I was able to get up easily. I don't think I would have been able to before surgery.

The offending steps

This afternoon I made a carrot soup, which I will eat tomorrow, and rice noodles with a pesto sauce made with zucchini. Not bad at all, the pasta. I ate all of the applesauce I made yesterday. I might just start laying in jars of applesauce. 


BP: 156/93

Weight: 200

Thursday, October 26, 2023

Day Five

 Bad night. Not the worst but far from the best. It started with restless leg. That went on for a while, as I got up and down and stretched and relaxed and finally fell asleep. Then I woke up with a cramp in my left leg. It took some time to calm that down. I got up, stood on that leg, walked, stood, sat down, stretched, until it finally eased. Not long after, I woke with a cramp in my right leg.  I went through similar efforts, finally getting back to sleep. Sleep never lasts long for me, so it was tossing and turning until early morning, when I fed the cats. After that, I managed to rest a little because my leg wasn't bothering me, until it started to hurt a little again.

I didn't feel the need to take any more Tylenol after the Tylenol PM that I had taken at about seven last night. I'll try going another day without.

I always seem to be digesting food when I take blood pressure readings. I shall remind myself not to do so in the future.

My back pain has been acting up more lately. I wonder if it is the stress of buying a home, getting ready for the move. Whatever it is, it is really irritating when I want to get something done.

As for my food! I am just eating stuff. No organized meals, just what is available that doesn't take much effort. Right now I am eating a bowl of green peas. Earlier I had rice cakes and then watermelon.

Later....

I made more strawberry applesauce, using six apples, a pound of strawberries, and about a half can of apple juice concentrate. It isn't nearly enough. Need to make more.



BP: 141/98

Weight: 199.8

Wednesday, October 25, 2023

Day Four

 

I'm still on the plan. However, when I looked at the PCRM website and looked at the pamphlet they provide on the arthritis elimination diet, I see that they included soy and chickpeas in the possible triggers section. These two are not on the list that is on the website itself, however. (Nor are they on the list in my copy of the cook.) I have been debating whether to stop eating these two foods for this four-week period. 

I'm thinking of getting split peas so I can make a simple split pea soup. Very simple. 

Today I have not walked a lot. Went to the dentist for a checkup and ended up having a tooth filled. That is, a part of the filling had broken off so I had it replaced. Then I picked up an order from Target by sitting in my car and having them bring it out. 

I am trying something of a test.  The last time I had any Tylenol was 7:03 pm last night. I decided to forgo it for today, see how it goes.  I will take Tylenol PM later, though. It has been helping me get to sleep in spite of that restless leg and wound pain.  So far I don't notice any more discomfort than usual. 


BP: 142/79

Weight: 200.2

Tuesday, October 24, 2023

Day Three

 I've made it to day three. I'm relying on rice cakes and tofu and garbanzo beans to survive. Mainly because these are foods I can eat without much prep or no prep. I get so impatient. I want to eat now.

I haven't eaten all foods cooked. Yesterday I had watermelon. Nobody cooks that. I think I understand the reason for cooking everything - eliminate any possible source of inflammation. 

Lately I have noticed that I can get dressed more easily. I think this is because the swelling has gone down quite a bit. It will be quite the day when I don't need that sock helper to put my left sock on.

Later...

I met my physical therapist outside as I was bringing a bag of trash to the dumpster. He followed me to see how I was walking, said I was walking very well. On the way back he said, "now try without the cane" and I did. "Just as good," he said. But I had some back pain. I mentioned it and he said the hip surgery may have caused it and it should go away. I hope so but am not too hopeful because this pain is something I have had for about three years, intermittently, and I have yet to find out what is really causing it. That is a story for another day, though.

Before seeing the PT I went to my post-op appointment with the surgeon. He said I'm "doing awesome". Two more weeks before I can submerse myself in water (but showers are still fine). He will get x-rays at the next appointment, in four weeks, to see how the joint is doing. 

After the PT had me trying walking without my cane I tried it during the day and now I am walking without it as much as with.  I am very happy with how quickly I am recuperating. 


BP: 160/84

Weight: 202.2

Monday, October 23, 2023

To reiterate

 Here is my plan, straight from Dr. Barnard's book:


The pain-safe foods are:


and the triggering foods are:


So today I started my day with rice pudding I had made last night. Simple - cooked brown rice, rice milk (that I had made earlier using more brown rice and a bit of date paste), maple syrup, and vanilla. Moved on to reheated tofu cubes that I had cooked in the air fryer last night (pressed tofu, cut in cubes, salted and air fried).

It occurs to me that it might be helpful to me to record my pain here. Daily if I think of it. 

I have been taking extra-strength Tylenol pm at night lately because of restless legs and pain in general on my hip. It helps me get to sleep. There comes a time when I don't feel any pain while lying in bed. But then that stops. I try to get back to sleep and can't, so I get up to brush my teeth and take a shower and get dressed. Standing helps with restless leg and walking does loosen the joint.  So what I have noticed:

My left leg is uncomfortable much of the time. I am either in pain or feeling that restless leg thing. My right hand is hurting lately. I think because I'm using a cane now and am leaning on my right hand. I am trying to use the cane more to steady myself and not to lean, but this will take time. 

I also have the pain in my lower back that comes along when I am preparing food or something when walking. It seems to happen every day, at least once a day, and I have to sit down to relieve it. 

That's the pain report, best as I can remember.

BP: 154/74
Weight: 203.4





Sunday, October 22, 2023

DAY ONE

As I prepared for the Great Four Week Inflammation Test, I looked at foods not on either list (see previous post). Soy is one. I was delighted to find that soy is great at reducing inflammation. So yay! Up with Tofu! Up with soy milk!

I took my copy of Neal Barnard's book, Foods That Fight Pain, from my shelf so I could read up specifically on the arthritis elimination diet.  Instructions are clear: Eat mostly from the safe food list. Avoid foods on the trigger list entirely. Eat foods that are not on either list but focus on the safe list.

I am starting the plan today! Mark this date: October 22, 2023. Four weeks. Can I do it?

When I went to Costco to pick up medication yesterday, I picked up some fresh fruits and vegs and avoided the breads and processed foods that I often like to eat. 

My small haul from Costco.

The directions say to cook most of the foods also. So this morning I cut up an apple and a pear and cooked them in the microwave. Later I cooked a pot of brown rice and just ate that with a little salt. Right now there are sweet potatoes cooking in my air fryer.  Obviously I'm not making any recognizable meals right now. However, the book includes a number of recipes I plan to try. Especially the rice pudding.




Tuesday, October 17, 2023

The plan is to fight that inflammation

When I was working on my other hip and my knee recoveries, I explored changing my diet to reduce inflammation. The best source I found out there was Neal Barnard from the Physicians' Committee for Responsible Medicine. What I like is the simplicity of the plan:  To determine what is causing inflammation, first eliminate all possible triggers. This means eat from a limited group of foods for four weeks, at which time I should see some change in my body. Then gradually add in triggers one at a time to test whether they cause inflammation. 

When I looked at the Safe Foods list I saw that it is quite limited - brown rice, some fruits and vegs, cooked, some condiments. The list of triggers is much longer. To my dismay I saw bananas, peaches, tomatoes, potatoes, apples, and onions on the possible triggers list, and I have all of these sitting on my counter. I also have almond milk, and nuts are on that triggers list too.  So I decided that I will use up these trigger foods, then embark on that four-week journey.

Here is a brief description of the plan from the PCRM website:

-------------------------------------------------

Try the Four-Week Anti-Arthritis Diet


Here's how to get started on the Four-Week Anti-Arthritis Diet. For four weeks:


Enjoy an abundance of foods from the pain-safe list.

Avoid common triggers completely.

Foods that are not on either list can be eaten freely.

You may start feeling better earlier than four weeks, but it often takes at least four weeks for chronically inflamed joints to begin cooling down.

After four weeks, if your symptoms have improved or disappeared, the next step is to nail down which one or more of the trigger foods caused your problem. Simply reintroduce the foods you have eliminated back into your diet one at a time, every two days.

Have a generous amount of each newly reintroduced food, and note if your joints flare up again. If so, eliminate the food that seems to have caused the problem, and let your joints cool down again. Then continue to reintroduce the other foods. Wait at least two weeks before trying a problem food a second time. Many people have more than one food trigger.

Pain-Safe Foods

Pain-safe foods virtually never contribute to arthritis, headaches, or other painful conditions. These include:

  • Rice 
  • Cooked Green Vegetables 
  • Cooked Orange Vegetables 
  • Cooked Yellow Vegetables 
  • Cooked or Dried Non-Citrus Fruits 

Common Pain Triggers

Common triggers often cause pain in susceptible people. Certain drinks and additives are also common triggers, including alcoholic beverages (especially red wine), caffeinated drinks (coffee, tea, and colas), monosodium glutamate, aspartame (NutraSweet), and nitrites. Here are the common food triggers, also known as the "Dirty Dozen":

  • Dairy
  • Chocolate
  • Eggs
  • Citrus Fruits
  • Meat
  • Wheat
  • Nuts and Peanuts
  • Tomatoes
  • Onions
  • Corn
  • Apples
  • Bananas

After four weeks on the elimination diet, you may find that a plant-based diet is the key to remaining pain free.

------------------------------------

So my first step is to get to the beginning. Get rid of perishable items that are on the trigger list, and start eating from the safe list plus additions that are not on either list. I still have some fruits and nuts and bread to get rid of. I'll also want to investigate what I might have instead of coffee. I have cut way back on coffee but sometimes I still want it.  I will announce when the four weeks begins officially!


Another ten years, another hip

 I am eight days away from an operation on my left hip. Same operation as the left, a total replacement, anterior. It has been a long and often painful journey (and boring too) but finally I got into that operating room and here I am, eight days later.

Lately I have perused my notes from my first hip replacement, to remind me how it went. It was not a case of immediate pain relief. I did not expect that it was, but my memory was that it was so much easier than the hip replacements that it seemed instant. 

Today I drove for the first time since the op. I had been taking some narcotics (oxy) so could not drive even if I felt up to it, and I did not feel up to it. I stopped the oxy yesterday afternoon and today I felt ready.  In fact, there was quite a change between yesterday and today, both in the level of swelling I see and in the pain I am experiencing. 


Here are my feet yesterday. Notice that the left foot is very puffy. My leg was similarly puffy.



And here are my feet today. They look almost identical. You can't see my thigh, where the swelling from the operation is most noticeable. But the difference in my feet is reflected in how much better I feel.

I had the hip operation because the hip is worn out. The doctor thinks that the hip was causing the knee pain I had in my left knee for the last few years. I have been cautiously optimistic. It is still too early to tell for sure because I still do have pain and swelling to work on, but I am gaining in hope. I met with the physical therapist today and he had me climb some stairs. He said just to try stepping up with the left foot, just see if it hurts too much. He didn't want to pursue it if it did hurt too much. But it didn't. In fact, I think it may have been less painful than it was before the operation. That's what is giving me hope.