Monday, September 25, 2017

Vocal Nodes update and Shingles

Don't panic!  I don't have shingles!  I did get the shingles vaccine today, however, and it's been something I've been meaning to do for a long time.  I happened to be in CVS, so I asked if Medicare covered it and how much it would cost.  Medicare covers all but $45.46, and they had the vaccine ready.  I thought that was a good price because before I had Medicare, my insurance did not cover any of it.  The cost was around $300 without insurance.  I'm pretty happy that I did it because back in the early 1980s, I did get the shingles when Lowell got the chicken pox.  I have no desire to get it again!

It was also all GOOD NEWS from the ENT.  Well, no, the singing voice is not back yet, but it is improving.  He did not do the endoscope to look at it today, but he will do it in six weeks when I return on November 3.  He said in 17 years at that practice, he has only had 3 patients that did not recover from vocal nodes with the same conservative treatment he is using on me, although it takes three to four months.  Next time if they are not gone, I will continue the treatment but also start the speech therapy twice a week for six weeks, which Medicare will cover.

So the conservative treatment consists of Flonase, Xantac, NO SINGING, minimal talking or at least stop when I feel the voice is getting tired or harder to produce a tone, and TONS of water for constant hydration.  He did say if I have a drink or two on the cruise ship that's okay as long as whenever I take an alcoholic drink be sure to follow it with an equal amount of water.  Whiskey and a water chaser, right?  I can do that!  Also he's okay with having TWO cups of coffee in the morning with two cups of water afterwards, AND he said he's okay with my one cup of decaf around 3 or 4 in the afternoon with a cup of water.  BUT absolutely nothing but water after dinner.  Last night I had a decaf in the restaurant at 7:15 p.m. and I woke up several times during the night with my entire mouth dry as a bone.  He blamed that decaf for that effect.

Anyway, I can continue this regiment for up to four months if I can have my singing voice back at the end of that time.  He saw no reason why I would not be able to sing normally once the nodes are completely gone.

All good news!

Now I'm going to go play Mah Jongg.  Maybe I'll even win some games today.

Sunday, September 24, 2017

Great show. Great dinner. Great friends. Up a pound.

The production of Hunchback of Notre Dame far exceeded our expectations.  The Winter Haven theater has won many National awards for their performances, even though it is a community theater where everyone is a volunteer.  Amazing. Dinner with Donna and Alan was also excellent, and we always have a good time hanging out with them.  We all loved the show and the whole evening.

Although I tried to calculate my calories as accurately as possible and stayed at 1417 for the day, I am still up one pound today.  I am hoping that it is just water retention because we are going out to dinner again today.

This afternoon we are going to the Garden Theater in Winter Garden with Ed and Susie to see Jesus Christ, Superstar, the first show of our six show season at the Garden Theater.  This is our second year of buying the season ticket package to this theater.  We really love their productions.

Usually we eat lunch before the show, but this time we are going to have dinner after the show.  This is Magical Dining month in Orlando.  Many restaurants participate in this event where a prixe fixe menu costs $35 per person, and part of that price is donated to charity.  We have chosen to go to Hemingway's in the Grand Hyatt near WDW.  Our dinner choices are limited, so we are having a Caesar Salad, Grilled Grouper with garlic mashed potatoes and steamed asparagus, and a Key Lime Tart.  This is not a chain restaurant, so I could not find any nutritional data.  I just did what I did for last night's dinner: researched all the listings of those foods in my Lose It! data base, threw out the highest and lowest examples based on calorie counts, logged in one that seemed close to the highest calorie count and resembled the description of what we are going to eat as closely as possible.  I have done that, so the dinner could be 1023 calories and 77 carbs.  I can handle that as long as breakfast and lunch are low.  For breakfast I had my sugar free Greek yogurt and a sugar free Ensure drink.  That came to 160 calories and 10 carbs.  Lunch will be a can of low sodium tuna and a can of low sodium green beans for 190 calories and 11 carbs.  It's hard to do better than that for those meals.  Then almost all my calories and carbs for the day are coming at dinner.  It's not optimal to cram all your carbs and calories into one meal at night, but when you are eating out with unknown foods, I feel that it's best to try to save it all up for that one meal.  If I'm hungry later tonight after dinner, I have programmed sugar free jello for a snack.  My total calories for today will be 1453 and the carbs will be only 98.

Meanwhile this morning my blood sugar was 114 this morning.  My total carbs were 103 yesterday and 1417 calories.  Of course, those were just my best guesses, like today will be.  Not knowing exactly what you are eating is difficult.


Saturday, September 23, 2017

Rosh Hashanah debriefing! Sorry, but this is long and doesn't even have any pictures!

Why is it that every single year both Mark and I forget how long Rosh Hashanah services last?

Both days we left the house about 8 a.m. in order to allow a little extra time for rush hour and still arrive at the 9 a.m. start time.  Services started promptly and then ended promptly at 2:05 p.m. both days.

Yup, that's a FIVE HOUR marathon of praying!

At least my little choir had to go up five times on each day to sing, so I couldn't get too complacent or nod off in my seat lest I miss our cue.  LOL

On Thursday, because we somehow never remember this five hour length, we ate breakfast at 7 a.m. and got home at 3 p.m.  We were both STARVING and EXHAUSTED.  We quickly ate lunch and then promptly fell asleep until about 5 p.m.

On Friday we were smarter.  We each packed a half sandwich in a cooler pack to eat as soon as we got in the car.  What a difference that little snack made!  We came home, ate the rest of our lunch, and then drove up the street to Barb and Ed's house to deliver some little special Baltimore snacks to them that we brought back from Maryland.  We stayed, visiting, catching up, and generally having a heck of a good time for over two hours.  I was never even sleepy!  It was a much better day.

Maybe next year, we'll remember!

Also, because as we drove home yesterday after 2 p.m. and ran into some small traffic back ups as we worked our way past the Hotel Boulevard entrance to WDW, we remembered that we had decided not to book two nights in a local hotel for Yom Kippur.  We thought we'd just save money and drive on home.  HA!  Seems like a good idea until it's after 2 in the afternoon, you're tired, and there's a WDW back up, and on Yom Kippur you have to turn right around after an hour at home resting to go back for the evening service.  So Mark booked us two nights in the same hotel we used the last two Yom Kippurs, the Comfort Inn on Palm Parkway.  That's only one mile from the synagogue and comes before any of the WDW traffic!  Now we can get back to the hotel next week for an afternoon nap in between the five hour morning service and the three and a half hour evening service, not to mention the night BEFORE when we are at the synagogue for about three hours.  Yeah, Yom Kippur is not just a 26 hour fast, it's also a marathon of time in the synagogue praying.  But asking God for another year of life is pretty important, wouldn't you say?

My eating and weight are both doing very well.  I have kept my calories well below the allowed amount, averaging about 1200 each day starting with this past Tuesday, our first full day at home.  This morning I weighed 270!  I was beyond thrilled.  It's only a little longer before I'll be back in the 260s, which I haven't been since August of last year.

Sadly, my excellent days of controlling everything and eating at home are ending today.  Beginning today, eight of the next nine days involves at least dinner out.  Some of the days have lunch and dinner out.  Never good for me.  If I'm not careful,  I'll easily gain a pound a day or more and undo all this work.  That would make me very sad, hopefully sad enough to make good choices.  Of course when eating out, even when you think you are making the best choices, hidden sodium and carbs used in the cooking that you don't know about or see will still sneak some weight back on.

My goal for the next nine days is to stay the same.  If I can report that a week from Tuesday, October 2, I still weigh only 270, I will take that as a huge win!  It doesn't stop there, though.  The next night we have company coming for dinner.  Two days later we are eating dinner out and six days later, on October 8, we are flying to Quebec City where we will spend two nights in a hotel before boarding the Holland America Zuiderdam for a 12 day cruise down to Fort Lauderdale.  Geez.  I love all the things we do in our Florida retirement life, but it is NOT conducive to weight loss!  LOL

Meanwhile, the sugars are still above normal every single time.  I had a blood draw from Quest on Tuesday morning.  I got a call from the doctor on Wednesday with the results. I was shocked at the fast turn around.  It actually took several more days for it to be posted on my Quest Portal.  The doctor reported my fasting blood sugar at 106, while I had gotten a 112 at home that morning before I went to Quest.  Of course, home test kits are never going to be as accurate.  My A1C was 5.7, which was absolutely the lowest one I had had in THREE years!

This new doctor does not know my record though.  They said OMG!  5.7 that's HIGH!  106 that's HIGH!.  Pre-diabetes.  Get on to a low carb diet.  I said thank you.  I know I have an appointment on Wednesday to meet with the doctor and discuss all this. I have had higher A1Cs every time, and I've had a 106 fasting in the past, but it's always been followed up with a 98 or so.  I have waffled slightly above and slightly below 100 for three years.  My previous family physician just pooh-poohed all of this because the numbers were so close.  Also the A1C thing is because the bar has been lowered.  5.7 used to be considered normal.  Now it's the number that is the border.  The new guidelines say to be under 5.7 and I was right on it.  Still, as I said, it's the lowest one I've ever had.

What is really different this time, is that I have been testing every day once or twice at home, so I know I never go below 100 any more in the morning or any other time of day.  That is concerning.

None of this means I'm a diabetic.  Pre-diabetes just means that if I continue to go the way I've been going, I could become a diabetic.  So I am NOT continuing that way.  I'm lowering my carbs, and I'm lowering my weight.  I know with every confidence that this will give me perfect numbers in the long run with no sign of diabetes.  That's the goal.

To meet that goal is to learn to overcome my biggest weaknesses, eating out or eating at dinner parties.  Half of my time in Florida is doing one of those things, maybe more than half.  I have mastered good eating in the home.  In fact, I have mastered that a long time ago.  I must work harder on the other two places because they are very hard.  I still love to eat and love to eat large quantities of food.  That might never change!  LOL!  Making good choices like no sugary alcoholic drinks, big salads for lunches instead of sandwiches and fries, limiting dessert to none or a bite or two for a taste, skipping the bread basket, THESE are the things I need to master next.

So today is Shabbat.  Off we go to synagogue for a third day in a row.  The good news is that regular Saturday morning services only last two and a half hours, and we usually get there an hour late!  They also have kiddush, some light foods, right after services.  This is one place where I easily avoid the food.  For years I have not gone to that food table except to take a small bite of ritual challah, which I have actually programmed in my Lose It! app.

Tonight we are starting our eating out by going to Donna and Alan's house.  She is making an asparagus and mushroom quiche, carrot and pineapple slaw, and ice cream for dessert.  We are bringing the ice cream, so I've programmed that.  It's so hard to figure out foods that you did not cook.  To estimate it, I search through the Lose It! apps program for all the quiches. I discard all the highest and lowest calorie ones.  Then I look for one that sounds the closest to this one, pick one whose calories are about 2/3 of the way to the highest one, and then choose the one that also gives a all the nutritional info instead of just saying n/a, which many do.  I picked an Asparagus Quiche where 1/5 of a pie is a serving and gives 400 calories, 16 carbs.  I picked a carrot slaw of a 1/2 cup serving for 140 calories and 15 carbs.  We are bringing the ice cream, which is Blue Bell Dutch Chocolate with a 1/2 cup serving, 160 calories  and 16 carbs.  If this bears any resemblance to what I'm actually going to eat, then my diner will have 700 calories and 47 carbs.  That's a good dinner!

We are having dinner with them because after dinner we are driving to the Winter Haven theater to see the new live production of Disney's Hunchback of Notre Dame.  This live show started in Germany where it was very successful and ran for several years; however, when it came to the USA, it never found success and never made it to Broadway.  The original composer and lyricist wrote some additional songs, which are great.  Mark bought the soundtrack album, so we've been listening to it.  I don't know why it couldn't make it to Broadway, but at least it's now making its way around the community theater circuit.  We will see it again in May at the Garden Theater, too.  Very exciting!

Time to go to shul, so I will close this very long blog now.  Have a great day and eat healthy!

Wednesday, September 20, 2017

Erev Rosh Hashanah. L'Shana Tovah to all.

Tonight begins the important Jewish holiday of Rosh Hashanah, the New Year.  Tomorrow and Friday, Mark and I will head out to our Orlando synagogue, SOJC, over near WDW, for two days of very long services.  They typically begin at 9 a.m. and go to about 1:30 p.m.  During the services, we will all thank God for his many blessings to us and the world and fervently pray for peace and prosperity for both us and the world. We tell ourselves and God that He is our King and we re-establish that relationship with Him.  This is essentially what we pray at every Shabbat service, but during the holidays there are more of these kind of prayers and the added element of asking for these blessings to last for us especially through another year. We pledge to forgive ourselves our sins and forgive others, although there are more of those prayers on Yom Kippur next week. We blow the Shofar to signify a new beginning, a wake up call in a way.

I wish everyone I know, both family and friends, Jews and non-Jews alike, that we all have a beautiful, happy, and prosperous New Year, that we all think about our lives and our relationship with God in order to make our little part of the world a better place. To all, I say L'Shana Tovah, a Happy New Year, to everyone.  May it be a sweet New Year for all!  I especially pray this for all of those in the USA and the Caribbean islands who have been affected by the many hurricanes this season and the people of Mexico who have been devastated by two recent earthquakes.

My little choir will sing five times on each day, so we had our final rehearsal tonight.  Our Cantor took a photo of them last night to put up on Facebook.  This morning I downloaded the photo to my laptop because I thought I could put it up here.  Hm...couldn't figure that out, so I just took a photo on my phone of the photo from my laptop and put it into Picasa the usual way just so I could put it up in this blog.

It's also Weigh-in Wednesday, and I am 273.9 this morning, which is a gain of 2 1/2 pounds for the week.  That is so sad.  My average calories for the week were about 1650 per day.  It's not a number that should bring on a a good weight loss, but it doesn't seem like enough to cause such a big weigh gain either.  I would like to think that I could maintain my weight with that number.

It was a tough week because we ate out four times and had a big party at Cindy's house last Wednesday night when I definitely over did it.  Yesterday I was up a bit more than today, so I lost a little water weight yesterday because my calories were only 1295, the lowest of any day in the week.

Also my grand experiment yesterday of keeping the carbs super low in order to get a normal fasting blood sugar reading did not work at all.  I had only 84 carbs for the day yesterday.  That's the first time I've been under 100, or maybe even under 120.  My sugar this morning was 111, not what I was hoping for.  Mark has suggested that it might be because I did not eat a bedtime snack or any carbs after dinner.  He has found that if he does not have some carbs, maybe 20-25 or so, around 11 pm., his sugars are high in the morning due to Dawning Syndrome, or his liver releasing sugar after a long fast.  Tonight I will eat my Arctic Zero, 28 carbs and 147 calories, at 10 p.m.  I'll report tomorrow morning how that may have affected my morning reading.

It may not even be healthy to go lower than 84 carbs in a day, even though I know it can be done, and many people following at Atkins diet for weight loss regularly do it. I recently read that the brain requires 130 carbs a day just to function efficiently.  I won't be trying to go super low carb for awhile because the High Holidays will be bringing additional carbs at dinner.

Mark has done a great job of picking low carb, soft main dishes for us.  I got that temporary crown yesterday, which is less secure than the old permanent filling, so I have to be careful not to break it for the next five weeks.  But each meal of Rosh Hashanah will involve some challah, apples, and honey.  Even if I eat only a little bit of those things, it's still carbs.  We are definitely NOT having our traditional Rosh Hashanah dinners tonight and tomorrow night.  I don't know if Mark is sad about that or not, although I think I am a little bit.  Everybody has special holiday foods that they enjoy and look forward to eating.  This year, none of those are happening.

Our typical Rosh Hashanah dinner would be the following:
Wine
Apple slices dipped in honey
Raisin Challah, preferably in a round loaf
Chopped Liver
Matzo Ball soup
Gefilte Fish
Main Entree consisting of chicken, potato kugel, and a vegetable
Honey Cake for dessert

Well, THAT'S not happening this year.  I am not calculating the calories in carbs in all of that, but I am sure the carbs are in the hundreds and the calories in the thousands, just for DINNER!

Instead tonight's menu is more like any other dinner we would have in a week:
Wine for Mark only (I'm still off alcohol for the vocal nodes)
Apples and honey, a carefully measured, small amount of only 1 T of honey and 1/8 of a small apple
A small amount of regular challah, just one ounce that I'll carefully weigh out
Shakshuka (eggs poached in spaghetti sauce, very soft to eat)
Cooked spinach

What a difference!  Tonight's meal will not feel at all like Rosh Hashanah except for the apples and honey.  The good news is that this dinner will have only 55.6 carbs and 526 calories.  Quite a difference!

If I don't eat anything I have not programmed today, my calories will be 1221 and the carbs will be 110.  Eating the Arctic Zero tonight will be a good experiment for Mark's theory of morning sugar levels.

My only concern now is that no matter what I do, these sugars will not change because I do NOT have diabetes. There are several other things that can cause excessive thirst and elevated sugar levels.  I have an appointment with my new family physician next Wednesday, and I hope she will agree to run some tests to rule those other things out before settling on a diagnosis of pre-diabetes.

My numbers are not high enough for diabetes, but neither are they normal.  These numbers will not cause any long term damage to any organs in my body, and at 67 years old, I will probably die before those numbers could EVER have an impact on them.  What pre-diabetes really means is that if I do not change my eating habits significantly, then actual diabetes is the logical conclusion.  Even if I ran numbers of 140-200 every day, all day, at my age any damage to the internal organs like kidneys or eyes might not take effect before I am gone.

The whole thing always comes back to weight.  As a person who has been overweight and/or obese her whole life, I would totally expect to be a Type II diabetic at this age, and only serious weight loss will reverse those numbers.  That is what I think is really the issue, so I just have to do three basic things: exercise more, keep the carbs low, keep the fats low.  Holidays, restaurants, dinner parties, vacations, and especially cruises all conspire against me!  THAT is my real challenge, controlling those situations as well as I control my eating at home.

Meanwhile, once more, L'Shana Tovah, may you all have a blessed, peaceful, happy, and sweet New Year!



Tuesday, September 19, 2017

Back home.

We took the auto train back.  It arrived on time about 9 a.m. in Sanford yesterday, but we were among the final ten out of over three hundred cars to get called.  That meant we sat in the station until 11:15. Crazy.  By the time we made several stops on the way home, including lunch at Perkins, it was about 3:30 and we were exhausted.  It took several more hours to unload the car and get everything put away.  I ended up going to bed about 10:30, which is an hour early for me.

Today I had a 7 a.m. fasting blood draw for the doctor's appointment next week to discuss my potential diabetes.  This morning my sugar was 112, a very good number for me lately.  I had only 127 carbs yesterday.  Back on Sept. 9 I had a 122 fasting sugar after only 121 carbs the day before, and on Sept. 7,  I had only 91 carbs with a fasting sugar the next morning of 117. On Sept. 4, I had a whopping 175 carbs and my sugar reading the next morning was only 111.  So I'm not sure there's a great correlation.  Today I'm having an excellent day with only 82 carbs for the whole day, 1215 calories.  I'm very curious to see what the fasting reading tomorrow morning will be.  I have been hoping that I'd find that magic number of carbs to eat that would give me reading 100 or less in the morning.  Maybe 82 will be it!  Weight loss is the real answer, but that's slow.

Then at 10 a.m. I had a dentist appointment to get the crown for that molar that had the root canal back on August 24.  I was supposed to go back in three weeks to get the permanent crown, but we will already be gone to Canada, so I'm going back on Oct. 23, the day after the cruise ends.  That means babying this temporary crown, which is more fragile than the permanent filling that had been in there, for five weeks.  Again I'm going on soft foods, nothing sticky or crunchy.  She said don't chew on that side at all!  HAHA!  I reminded her that I have no teeth on the other side, so that's the ONLY side I can chew on.  So she just said be extra careful!  That's what I'll have to do.

And tonight my SOJC choir will have its final choir rehearsal before the High Holiday performances on Thursday and Friday.  They missed a lot of rehearsals because we were gone for three weeks instead of one week due to the hurricane.  At least the two newest hurricanes out there are going to miss Florida.  Sadly, that is not true for some of the same islands that Irma hit.


Sunday, September 17, 2017

We're finally going home.

I have been so busy and having so much fun that I never sat down to write a blog since Wednesday. Now it's Sunday and we are boarding the auto train for home.  

We had a wonderful time with Jon and Jen Wednesday night, but I forgot to take a picture of them. Last night we had a great time with Lowell and Emily at the Vegan restaurant Great Sage, but I also forgot to take a picture.  Friday night we had a great time at Rabbi Saul's house for dinner, but, yes, you guessed it, no picture. Oh, well.

Thursday we also bought some plastic flowers at Walmart to put on the pets' graves. They look nice and will make it easy to find them next time.

So now we are packing and cleaning in order to meet Virginia friends, John and Bev, for lunch at a Subway near the train station.

So our 8 day trip turned into 18, but we are finally going home.

Here is a picture of our visit to Irene and Gary and one of the plastic flowers on Ace and Sirikit's graves.  Next blog will be written in Florida!

Oh, one thing before the pictures.  I lost control of my eating Wednesday night with Jon and Jen, and the Tofu Stir Fry last night at Great Sage was super salty.  So this morning I am up FIVE and a HALF pounds. I'm sure it's water retention.  At least, that's what I hope.  This morning I weighed 276.8, which is actually the same as when we left to come up here.  On Wednesday, August 30, I reported a weight of 276.7 just before we drove off to get on the north bound train.  I even said I was happy with that weight because it was the same as the week before.  LOL  So on this trip I had actually dropped 5.4 pounds in two and a half weeks, which would have been great, and now I've blown that in just the last days.  Some of it is water retention, I'm sure, because the tofu stir fry was super salty.  I will be good on the train, and maybe after I'm home, I can report in the next blog that the five pounds are gone again.  We shall see.

Mark, me, cousin Irene Smith, and her husband Gary.

Harley, Irene and Gary's kitty.


 
And here are a few of the Photopass pictures from Evey and Eric's WDW vacation.  They had a most marvelous time.  The park was not damaged by the hurricane and the crowds were exceedingly light. It never even rained on them at all. They were there from last Tuesday, but they arrived back home last night.





Wednesday, September 13, 2017

Fun times.

Evey ad Eric are having a blast today on their second day at WDW.  I'm so happy for them.

Mark and I went up to Woodlawn to visit my cousins Irene and Gary. It's been a couple of years since we were up there, and Gary was at work last time, too.   This time they were both home, and we had about 90 minutes to catch up on everything. It was delightful.

Now we are home, and I'm on hold trying to figure out why my special Happy Anniversary gift wasn't delivered to Evey and Eric in their All Star Sports room last night.  UGH.  The guest services person said it might have been because of the hurricane, which I understand.  She's currently got me back on hold trying to find out what happened.  Hopefully, it will be delivered tonight.

And around 6 p.m. Jon and Jen are coming here for a spicy chili dinner.  Looking forward to both the visit and the chili!

It's weigh-in Wednesday, so I'm happy to report that I'm 271.4, which is what I said on Monday.  I was up a little yesterday and back down today.  It's fabulous because it represents a 3.8 pound loss for the week!  I haven't had a week like that in a very long time.

Tomorrow I'll post some pictures from our visit today with Irene and dinner tonight with Jon and Jen.