Mid-Year 2025 Health and Wellness Update

Posted on by Astrid

Hi everyone. I forgot to share in my weekend coffee share on Saturday that I had my annual health check recently and got the results on Wednesday.

I am pleased to say that all my blood tests came back normal or close enough to normal for it not to be a concern. For example, my egfr (kidney function measure) was 86. The normal value is >90 and this used to get me worried a lot. However, a value of 60 or above isn’t a reason for medical intervention. And guess what? This value of 86 is higher than it was last year and then it was higher than the year before. In fact, I’ve never had as good a score on the egfr thingy since getting annual blood tests.

All my other bloodwork came back normal too. My fasting blood glucose level was 4.4. The normal range is 4-6.1. I know Americans and some other folks use a different measuring unit, but I am too lazy to look up what my value would be in that system. Now I hadn’t expected my glucose to be too high, since a while back I had it checked when I had eaten and it was 5.2 then. However, my maternal grandma suffered with type 2 diabetes at a relatively young age and I did use to be obese.

Speaking of weight, when I weighed myself last Tuesday, I weighed 60.5kg. This is about 2kg in the overweight range and it’s above the upper goal weight I’d agreed on with my dietitian. I am pretty sure that, when I weigh myself again tomorrow, I’ll have gained some more, since this was before last week’s BBQ and before all my birthday treats. I am struggling to care enough to actually change my eating habits and the good results on my blood tests are causing me to be more chill than I might otherwise have been. Let’s hope that I can actually kick myself in the behind.

And I don’t just mean with respect to physical activity. After all, I’m pretty sure I’m doing an okay job of that. I mean, yes, I should add strength training to my physical activity routine, but it’s not like I ever was more active than I am now. In fact, I’ve always been a couch potato and I can’t expect to drastically change that overnight. That’s why I’m pretty okay with the physical activity I do get. However, I do truly need to change my eating habits, because I know that I can. Just because I did far worse ten years or even five years ago, doesn’t mean I can allow myself to slide back.

I’m struggling some with increased pain in my right leg. It’s back to a manageable level since getting dry needling treatments a few times. However, it’s not completely gone.

With respect to sleep, I usually get enough sleep and I actually think its quality is decent too. I haven’t seen my oxygen levels drop below 95% according to my Apple Watch in forever. My breathing is faster than it should be according to my Apple Watch, which worries me a little. I don’t have the sleep apnea feature on my watch. That should be interesting once I get a new Apple Watch, since I’ve been concerned about that for many years.

I’m still a night owl, like I’ve always been. A few weeks ago, I read online that night owls experience faster cognitive decline than morning people. This scared me, but then again I can’t just change my circadian rhythm, right?

Overall, there are two competing voices in my mind telling me things about my health and what to do. One is telling me that I haven’t been healthier than I am now in years and this is a good thing, but it’s also rather lazy about making changes I do need to make. The other is saying that, even though I’m pretty healthy for me, it could and should be better. This voice is scaring me about turning 40 next year too. I think I need to find the middle ground.

#WeekendCoffeeShare (February 22, 2025)

Posted on by Astrid

Hi everyone. I’m joining #WeekendCoffeeShare once again. It’s almost 10:30PM here, so no coffee for me. Since this is a virtual get-together, you’re free to grab your own beverage of choice. Let’s have a drink and let’s chat.

If we were having coffee, first I’d talk about the weather. It’s been all over the place with freezing night-time temps and daytime highs hardly above freezing early in the week, then a daytime high of 16°C yesterday. Today the daytime high was 12°C, which is still quite warm for late February. Unfortunately, it was raining most of the day today.

If we were having coffee, then I’d share that this week was a mixed bag mental health-wise. I’ve mostly been quite tired, but the bloodwork I had done on Monday came back all clear. I wish there was something simple that could explain my daytime tiredness, but I’m pretty sure that if I pressure the doctor to do more testing, they’ll just say I shouldn’t give in to fatigue, as I was told the last few times (many years ago) that I complained of being too tired.

Yesterday was a good day, but today I felt a bit irritable and overloaded.

If we were having coffee, then I’d share that I spent a lot of time early in the week switching web browsers. Somehow, with the latest update, Edge for iOS is pretty much impossible to use for me. Whether this is an actual bug in its accessibility with VoiceOver or it’s just that things have been switched around like crazy and I’m not tech savvy enough for it anymore, I don’t know. I tried getting the freakin’ Copilot (Microsoft’s AI) that was constantly in my way to disappear, but it wouldn’t.

So I decided to leave Edge behind altogether and switch browsers, because I don’t like using one browser on my iPhone and another on PC. I finally settled on Chrome and, though I’m still figuring things out, mostly it works okay.

If we were having coffee, I’d then tell you that a (now former) staff came to say goodbye on Monday. I gave her the “bull in a china shop”, ie. the polymer clay elephant in a mug I’d created last week. She loves unicorns and elephants, but she already had a unicorn.

This time around, I didn’t get a proper description from the Be My Eyes app, because it judged the mug to be its body and the letter J (for the staff’s first name) to be its tail.

If we were having coffee, I’d then tell you all I had a good day yesterday. I walked a lot, but also visited the next town’s market. I had originally been uncertain as to whether I wanted fried fish (or shrimp really) because of it being quite a high-calorie, high-fat food. I eventually said “screw it!” and considered yesterday a total cheat day. I, after all, also had fried chicken for dinner. Granted, other than that I only had a salad.

If we were having coffee, then I’d share I do really need to lose weight though. I’m about 2kg overweight, which doesn’t seem like a lot given that I used to be 20kg heavier than I am now. However, the “screw it!” thoughts are pretty commonplace especially given the current state of the world. For example, my unhealthy voice is telling me it’s not a problem if I risk getting a heart attack ten years from now because, for all we know, the world may’ve gone up in smoke by then anyway. I, thankfully, do still have more tangible reasons to lose weight or at least not gain any. Like, I still want to be able to wear my favorite pants.

If we were having coffee, lastly I’d share that I am still going strong meeting my movement goal on my Apple Watch each day this month. I’m really hoping for the perfect month award. That being said, I’m not overcompensating for my having indulged in too many “cheat” foods. Not that I believe in cheat foods anyway, since there are no bad foods, just less healthy habits. And overexercising can be a less healthy habit too, as my dietitian reminded me on Wednesday. Not that I’ve ever truly done that, honestly. The bottom line though is that I’m not engaging in compulsive eating habits or exercise. I feel things might need to be a little more controlled, but I’m not sure how to do this.

#WeekendCoffeeShare (September 28, 2024)

Posted on by Astrid

Hi everyone. I’m joining #WeekendCoffeeShare again today. It’s nearly 10PM here, so no coffee for me. If you’d like some though, pour yourself a cup and let’s chat.

If we were having coffee, first I’d moan about the weather. I had to check back to last week’s coffee share to see if memory was serving me well, as I almost couldn’t believe the daytime high was above 20°C then. Today, the daytime high was only 14°C. It was raining all day yesterday and most of the day today too.

If we were having coffee, I’d tell you that, as a result of the rainy weather, I almost didn’t meet my movement goal on my Apple Watch yesterday. I was tempted to lower my goal for that day specifically, but my spouse convinced me that would be cheating. I then danced around my room for about 25 minutes so that at least I’d meet my goal. I didn’t meet my exercise goal, but that doesn’t count towards the perfect month award.

During most of the rest of the week, I didn’t walk much at
all either. On Thursday, however, I went swimming. This was great!

If we were having coffee, I’d share that I’ve also been quite fatigued lately. I’m probably starting to experience a touch of the seasonal blues.

If we were having coffee, I’d tell you that I had bloodwork on Monday. I had no idea why and in fact was convinced they got me mixed up with another client. Apparently not. However, I had already had breakfast and one of the things needing to be checked was glucose. I thought this would be problematic, but the nurse said it wasn’t. I finally found out the reason for the bloodwork yesterday: it was the fact that I’d been experiencing night sweats. I had long attributed those to the warmer weather, but then again they aren’t gone now (though they’ve lessened). Fingers crossed for all normal results.

If we were having coffee, I’d tell you that I had a meeting with my support coordinator, behavior specialist and mother-in-law on Monday. It was a bit difficult. Though I could see my support coordinator doing her best to help me, it was still quite hard to feel the limits of what she can do for me.

For example, I had been struggling with play therapy because a staff I don’t realy trust had been attending it with me. My support coordinator tried her best to find a somewhat trusted staff for me in the coming weeks but couldn’t, so I felt like giving in and accepting a staff I at least don’t feel bad about.

The next day, I had a candid conversation with my support coordinator. That was somewhat reassuring. Play therapy on Wednesday was still more or less useless.

If we were having coffee, I’d tell you that next week, I’ll be video-recorded in my interactions with a staff. The goal is for staff to look at the tiny signs that might lead to distress and things they can do or not do to help me.

If we were having coffee, I’d end on an upbeat note by saying I’ve been making a lot of smoothies lately. I don’t really have the energy for polymer clay or the like, but preparing a smoothie takes only five to ten minutes. I always create enough to share with at least some of my fellow clients and they truly appreciate it. My best one was a smoothie with pineapple, banana, coconut water and a pinch of cinnamon.

I also finally managed to make a delicious mug cake. I mean, the ones I made before were okay, but there was always something slightly off about them. The only thing about this one was the fact that I couldn’t wait for it too completely cool before consuming it. Otherwise, it was great!

Gratitude List (August 12, 2022) #TToT

Posted on by Astrid

Hi everyone. I want to write a gratitude post this evening. As usual, I’m joining Ten Things of Thankful (#TToT). Here are my gratefuls.

1. I am grateful for my husband’s new car. Last week Sunday, he came by for a visit and drove me to Subway for lunch in it. It’s a Fiat Panda. I remember those as really small and uncomfortable cars, as my parents had one from the mid-1980s back when my sister and I were children. This one’s a 2010 model though and much better.

2. I am grateful I was able to finish the necklace for the woman in the nearby care home who has her birthday tomorrow. The Fimo beads did get a little discolored, even the white ones that I’d cured at 110°C. Oh well, according to my husband, the colors do fit nicely together.

3. I am grateful I actually got the money back from the pasta machine I’d ordered and then returned. I wanted to spend it on polymer clay supplies I do want at that same store this evening, but then somehow our Internet broke down.

4. I am grateful for Internet access on my iPhone, so that I wasn’t completely cut off when the care facility’s WiFi broke down.

5. I am grateful the WiFi is back up for now. After all, blogging on my iPhone is still a pain.

6. I am so grateful my one-on-one shift today got sorted eventually. The care home is so short-staffed that no-one could initially be found to work my shift. They finally found a solution that was far from ideal, for the person doing my shift and me, but we got through it.

7. I am grateful for ice cream cones. Like I said on Wednesday, a staff bought them for me when we were at the supermarket. We still had some left today, so I got one again.

8. I am grateful for a tiny bit of weight loss regardless. I didn’t really mind my diet over the past week and it was too hot for exercise, but still I lost 0.2kg.

9. I am grateful getting blood drawn wasn’t painful yesterday. I went to the doctor last week because my IBS-related symptoms seem to be increasing and changing. The doctor ordered bloodwork just to be sure it’s nothing else and I had to have it drawn yesterday. I have really thin veins, so usually it’s real trouble, but not this time.

10. I am grateful for books, music, YouTube videos and podcasts to entertain and inspire me.

What are you grateful for?

Nurse Practitioner’s Appt This Afternoon

Posted on by Astrid

I had a brief meeting with my nurse practitioner this afternoon. Even though it was only half an hour, we discussed a lot of things. First we made concrete plans for me to start the topiramate. Like I said before, I would need to be on the injectible birth control for two weeks before I could start it. That would be next Thursday, but I proposed I won’t start with the topiramate until the Sunday after that, July 4. That way, I won’t be just starting out when I go to Lobith on July 3. This was okay with my nurse practitioner and he’d make sure the pharmacy would get it ready on time.

Next, we discussed my bloodwork results. In the part that measures metabolic health, nothing worrisome was found. I asked about my kidney function and first my nurse practitioner said that unless your estimated GFR is below 60, it’s no reason to worry yet. Mine was 81. He checked my previous lab results. My estimated GFR was 71 in 2019 and 82 in 2020, so there’s not a clear decrease either.

He also complimented me on my cholesterol level, which was completely normal. Of course, there is only so much you can do about high cholesterol, but apparently I’m doing what I need to. It probably helps that I don’t drink and try to eat a relatively healthy diet.

Then the other page showed my blood level for my antipsychotic aripiprazole and its active metabolite. These were quite high. This means that side effects may outweigh the effectivness of the medication. While I don’t experience any major side effects, we will try to lower my aripiprazole dose in the not-too-distant future. That’s been a long-time wish for me anyway.

Then we got to discuss my crisis last week and my conversations with my husband. My husband had suggested I might have dependent personality disorder and I eventually thought he was right. Of course, in my mind, this led to all kinds of additional conclusions that my husband hadn’t mentioned, like my not having trauma-related issues and my not even being autistic and my being one giant manipulator.

My nurse practitioner said that DPD rarely if ever goes alone and that he wonders whether it even is a valid diagnosis. It is according to DSM-5, of course. He added that this is one of the most negative diagnoses to give someone. My nurse practitioner obviously didn’t mean my husband, as he didn’t really try to diagnose me at all, just wanted to give me food for thought. We will further discuss my issues with dependency in the future.

Overall, it was a good appt. As my nurse practitioner hadn’t read the E-mails we (meaning my inner people) had sent him over the weekend, we didn’t go into those specifically. Those E-mails had included a lot of self-loathing and self-doubt, including about our possible DID. I did explain about the dependency issue, like I said above. He also made sure I’m no longer in actual crisis. I confirmed this. This means I no longer need more frequent contact with the mental health team than I normally have.

June 2021 Health and Wellness Update

Posted on by Astrid

I am feeling kind of worried about my health lately. To get myself a more realistic picture of how I’m doing, I thought I’d do a health and wellness check-in. I am hoping I can make this a monthly habit.

Firstly, the reason I am worried is one abnormal result on the annual bloodwork I had done last week. I get an annual blood test for fasting glucose, cholesterol and other indicators of metabolic syndrome. This is because I take psychiatric medications that can influence this. Last year, my mental health agency ordered it, but this year, my care facility’s physician did. This means I could see my results in the patient portal for my GP surgery that same evening.

The good news is my fasting glucose, cholesterol and triglycerides were all within the normal range. The one thing that wasn’t, is an estimate of kidney function. It should be above 90 and was 81. Because it is an estimate, one abnormal blood test doesn’t say anything. I may need to be retested in a few months.

I looked up what to do about decreased kidney function, hoping to find that if I drank plenty of water, I could get it back to normal. I’m still not sure that’s the case. I mean, I try to drink at least two liters of fluid each day, but can’t figure out whether that should be enough. Other than that, I do try to watch my salt intake more closely. That’s pretty hard, of course – harder than drinking more water.

I do worry that I might not be able to tolerate the topiramate though, because if I remember correctly, that medication is eliminated through the kidneys. I’m not sure though and will leave this to the doctors to decide.

Like I said though, all my other results were within the normal range. My fasting blood glucose was 4.3. It should be between 4 and 6 and was 4.2 the last time, but I’m not drawing conclusions about it increasing as of yet.

Today, I did send off a urine sample for checking for a UTI, because I’ve been having lower abdominal pain. It came back alright. My staff will likely call for an appointment for me to see the doctor, as the pain is still pretty intense.

As for some good news though, I stepped onto the scale this morning and am back at my average weight for the past six months or so. My weight usually goes up or down a few pounds. I’m now 72.1kg, which means 2kg to lose for a BMI under 30. I am unlikely to reach that goal, but it’s okay.

As my husband reminded me when I told him about the abnormal blood result, small steps go a long way. I am already trying to cut back on my snacking on the weekend. I also make sure to eat enough veg and fruit. I mean, the meal delivery company isn’t great on putting veg in its pasta and rice dishes, which I eat most days. However, I make sure to eat some cucumber, tomatoes or raw bell pepper with each lunch. For the upcoming month, I’ve also selected some potato dishes from the meal menu, since they usually are richer in veg.

My husband also pointed out that I get enough physical activity. I could go on the elliptical more often, but my walking is pretty good already.

I did feel a little depressed when my husband told me that it’s obvious that I’m not as healthy as the average woman in her thirties. Then again, he reminded me that I turned the tide on my weight gain in 2018 and am healthier in some ways than I was before. Besides, a century ago I wouldn’t have lived past infancy. That put things into perspective.